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The study included 82 patients with MAC lung disease, 18 with hemoptysis and 64 without. Higher total radiological severity score at the time of the initial diagnosis of MAC was associated with an increased risk of hemoptysis. Among the radiological scores, infiltration and cavities were marginally associated with the risk of hemoptysis. The radiological severity score at the time of initial diagnosis of MAC lung disease was associated with hemoptysis. The radiological severity score at the time of initial diagnosis of MAC lung disease