2. Aspergillosis
Although less common than tuberculosis, aspergillosis should also be considered in the differential diagnosis, particularly in immunocompromised individuals. Patients with aspergillosis may present with symptoms like TB, including hemoptysis, fever, and weight loss (14).
Tuberculosis and aspergillosis should emerge as significant considerations. The high prevalence of TB in Iran, along with the clinical and radiological findings, warrants thorough diagnostic evaluation, including sputum smear microscopy, culture, and potentially imaging-guided biopsy (15). It’s crucial to recognize the limitations of diagnostic tests and maintain a high index of suspicion, especially in regions endemic for tuberculosis.