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There are patchy centrilobular ground-glass opacities within the left lower lobe supportive of distal airways infection. Left lung air-trapping secondary to the known left main bronchus stenosis. Otherwise, no significant bronchiectasis or air trapping to support chronic rejection. The pleural spaces are clear.
There is no hilar, mediastinal, axillary lymphadenopathy. The thoracic cage and imaged superior abdomen are unremarkable.
Conclusion:
1. Left lower lobe distal airways infective changes are aetiology nonspecific.
2. No evidence of chronic lung allograft dysfunction.
3. Left main bronchus stenosis is similar.