Non-tuberculous Mycobacterial - NTM CT scans
A 66-year-old man, a non-smoker, complained of difficulty breathing, loss of air, loss of appetite and body weight, productive cough accompanied by frothy white sputum, night sweats and increased temperature in the evening hours. After spirometry, which showed restriction in the small airways with a decrease in the vital capacity of the lungs, this patient was referred for a Sputum Culture lab test and CT lung scan. On this Axial CT scan, we can see thickening of the interlobar septa, and enhanced interstitium with expanded interlobar airways of the 1st branching order, dominate perihilar to the left. Multiple cystic lesions of the "emphysematous bulla" type with subcentimeter diameter are present on both sides of the lungs. In the apex of the left side of the lung, fibrous changes with opacification of the lung parenchyma according to the "ground glass" type - a possible suspected inflammation. Positive cultures were found in two sputum lab tests, thus confirming the existence of Mycobacterium avium complex.
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