A 40 years old man presents with a recurrent hemoptysis and purulent cough. X-ray was found to be normal. To next investigation done to aid in diagnosis is :: (A) MRI, (B) Bronchoscopy, (C) HRCT, (D) CT guided biopsy
Answer is B. B i.e. Bronchoscopy As a rule, you can remember, for almost all cases of hemoptysis the investigation of choice is Bronchoscopy followed by HRCT; Except for hemoptysis associated with parenchymal (interstitial) lung disease where investigatim of choice is HRCT> Bronchoscopy, and in suspected bronchitis where you observe and wait for recurrence for performing Bronchoscopy.