Lung aspergilloma consists of a fungal mass composed predominantly by Aspergillus fumigatus formed within a prior lung cavity, in greater numbers in healed tuberculosis caverns. Clinically, it is marked by patients in their fourth or fifth decade of life presenting most commonly repeating episodes of small volume of hemoptysis. The present report describes the case of a 66-year-old male patient, admitted with hemoptysis of large amount associated with dyspnea, and past pathological history of

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... moptysis episodes more than 24 years after diagnosis and treatment of tuberculosis in 1994. Data were obtained through analysis the patient's medical records and laboratory and imaging exams performed on the patient during the hospitalization period. This paper highlights a relevant cause of hemoptysis in patients with previous history of tuberculosis and clarifies the clinical and imaging investigation for timely diagnosis and appropriate therapy in such cases.