Demographics:
67 years old, Female
Indication:
Persistent cough
Findings
Chest radiograph
- Airspace opacification in the right middle lobe and lingula
CT
Chest
- Consolidation and bronchiectasis in the medial segment of the right middle lobe and in the lingula
- Clustered tree-in-bud nodularity in the posterior segment of the right upper lobe and to a lesser extent in the right lower lobe
- Mild central bronchial wall thickening
Upper abdomen
- No acute findings
MSK
- No acute findings
Diagnosis
Mycobacterium avium intracellulare infection
Sample Report
Findings are most suggestive of a chronic atypical infection, particularly mycobacterium avium intracellulare. Clustered tree-in-bud nodularity in the right upper and lower lobes may represent superimposed acute infection.
Discussion