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To diagnose the cause of coughing up blood, your doctor may ask the following tests to be done: Computed tomography (CT) scan of the chest Chest X-ray Magnetic resonance imaging (MRI) Sputum examinations such as microscopy or culture to look for infections Lung scan Lung biopsy Bronchoscopy (a procedure in which a flexible tube is inserted through the nose or mouth to examine the lungs and airways) Blood counts Blood clotting test Pulmonary arteriography/angiography (a procedure to see the blood flow through the lungs) Urinalysis Should I go to the ER for coughing up blood

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They may also be so small or embedded so deeply in the tissue of the tonsils that they are not visible