time for a quiz!

-2 million people in the world have this disease, but today was the first time i ever saw someone with "active disease"

-medical history: cough for "a while", lost 12kg in the past 3 months, and he saw some blood in his cough this week, and thus he came to the city to see a doctor...he lives 10 hrs away in the jungle

-and you biggest hint...some xrays:

one note about the xrays: if you look the "L" side of the image doesnt show the heart shadow, but its simply mis-labeled and the R is actually the L side, we confirmed it wasnt a rare case of dextrocardia bc the gastric bubble is on the R, too, so that confirms its just mis-labeled...wanted to explain that, but dont get caught up on this detail, it was nothing to do with the case

I will post the answer (in case some doesnt get it right, in the comments section)

I will also post come extra comments about the case and some reflections about it, after yall have time to guess