Patient reports 4 years of pain in right hemithorax. Two years ago he had a cough with yellowish sputum and hemoptysis. Presents with fever (not measured), dyspnea, and wheezing, worsening when in contact with dust and smoke. No weight loss.
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Situs inversus totalis.
Airspace consolidation, associated with air bronchograms and cylindrical bronchiectasis, occupying almost all of the middle lobe.