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Lady Windermere syndrome

Case contributed by Hani Makky Al Salam
Diagnosis almost certain
x-ray

Poor definition of the right cardiac border with possible sub-segmental atelectasis best appreciated at the lateral chest radiograph.

ct

RML and lingula bronchiectatic changes with mucus plugging and areas of subsegmental atelectasis.

Few tree-in-buds areas are seen as well. Multiple subcentimeter mediastinal lymph nodes, likely reactive.

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