Presentation
Chronic cough.
Patient Data
Age: 65 years
Gender: Female
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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.