Right middle lobe bronchiectasis: Mycobacterium avium complex

Case contributed by Natalie Yang
Diagnosis probable


Chronic cough.

Patient Data

Age: 65 years
Gender: Female

HRCT of the chest demonstrates marked right middle lobe bronchiectasis  with extensive volume loss. In the medial basal segment of the right lower lobe a number of centrilobular opacities are demonstrated, some with a tree-in-bud appearance.

Case Discussion

Findings are consistent with Mycobacterium avium complex infection (Lady Windermere syndrome) with associated RML bronchiectasis. 

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