Patient with an extensive history of lung infections, last hospital admission one year ago. Currently Complaining of cough.
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CT scout: similarly to an x-ray, the scout shows ring shadows and interstitial markings predominantly involving the left lung lower zones.
CT confirms diffuse bronchial wall thickening, peripheral mucoid impaction and cystic bronchiectasis severely distorting the left lower lobe. Centrilobular nodules in a tree in bud distribution within the lower lobes are likely related to acute bronchial infection/aspiration.