COPD, asthma, mycobacterium avium infection
A male patient 65 years old, a long-term cigarette smoker & alcohol drinker. Suffers from intense, productive cough, followed by coughing up bloodless sputum. Approx. 10 years ago he was diagnosed with chronic obstructive pulmonary disease. This digital coloured X-Ray chest radiography in the Posterior-Anterior (PA) projection. The patient is in the standing position; we see enlarged intercostal spaces, diffusely reduced transparency of the lung parenchyma of all lung fields bilaterally, with accentuated hilus and flattened hemidiaphragms. Also, the bronchovascular pattern is emphasized pericardial bilaterally, with emphasized interstitial drawing, thickening of interstitial septa of the same regions, predominantly on the right. Occasional punctiform and punctate soft tissue formations - micronodular changes of the lung parenchyma. The patient was referred for bacteriological analysis of the sputum and a lung CT (Computed Tomography) scan to confirm the diagnosis. Bacteriological lab report of sputum confirmed the existence of Mycobacterium avium infection.
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