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well tonight were hearing from the doctor behind a viral medical oddity as some reports claim a California patient literally coughed up a lung but tonight were getting a better perspective on what actually happened Barranca de la Cruz joins us with the photo circling social media tonight Veronica thats right Liz and Ken doctors worldwide tonight are stunned after a patient of UCSF coughed up a blood clot so large it came out the exact shape of his right lung now the photo tells the story best but we have to warn you it is disturbing take a look this is it and you can see the unusual shape the patients doctor tells KPIX 5 tonight the man had an extreme bout of coughing when the 6 inch clot came out and he agrees the case is extremely rare and a little bit bizarre initially I mean everybody was shocked no thats coming up here because it was so big and then in a way we just laid it out he started was more or less a cast of his full right lung which is as I said very very rare because