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The scout shows showed abnormal opacity and small size of the left hemithorax with severe ipsilateral mediastinal deviation, rib crowding as well as cystic bronchiectasis. A small area with aerated lung secondary to contralateral lung herniation.
CT shows unilateral left pulmonary destruction with residual cystic bronchiectasis, mediastinal deviation, crowded rib, as well as contralateral hyperinflated lung. The upper ipsilateral ribs are hypertrophic probably secondary to chronic reactive periostitis.
Right upper lobe fibrosis with traction bronchiectatic changes are noted as well.