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Tree in bud

Case contributed by: Dr Paul Smith

Presentation:

Cough

Patient Data:

Age: Adult
Modality: CT

Case Discussion:

Moderately extensive tree-in-bud is again identified in both lower lobes, which is more prominent on the right. 

Once again, extensive bronchiectasis is identified in the right upper lobe, the right middle lobe and the inferior lingular segment. Both lower lobes are also noted to have bronchiectasis anteriorly and laterally. This is not significantly changed when comparisons are made with previous imaging. 

Pathology proven MAIC infection

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