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Nonmassive hemoptysis is a frequently encountered consultation at the pulmonary clinic and a few cases are commonly inconclusive. We present a case of unexplained chronic nonmassive hemoptysis, which was finally diagnosed as endobronchial telangiectasia, a rare cause of hemoptysis. Endobronchial telangiectasia can lead to massive hemoptysis, which occasionally can be missed by a casual examination during Flexible bronchoscopy, and these patients may undergo multiple diagnostic procedures before the diagnosis is established. Using narrow band imaging during flexible bronchoscopy can help the pulmonologist to identify the culprit lesions, which would otherwise be missed.
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