Conversation: The conversation between human and AI assistant.
[|Human|] i spit up old blood every now and then for past 4 or 5 yrs i sue to smoke 6 yrs ago and i have been hospitalized for chest pain and they found a spot on lung and watched it for 3 months didn go away but didnt grow but he didnt want to see m again im 23 yrs old and still have chest pain and sometimes it hurts when i breath in or out have been hospitalized for that also it was plurisy but im stilll having the problem since august should i be worried
[|AI|]  Thanks for your question on Chat Doctor. I can understand your concern. You are having smoking history with hemoptysis (blood in sputum) with spot on chest x-ray. So we should definitely rule out lung cancer and tuberculosis in your case. In my opinion, you should definitely consult pulmonologist and get done CT thorax and bronchoscopy. CT thorax is far superior to chest x-ray in identifying lung cancer. Bronchoscopy is beneficial in diagnosing TB. So better to consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.