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 dominant band-shaped bronchiectasis (also called "tram tracks"). They are prevalent in the lower segments of the left lung, right next to the heart mass and perihilar caudal. Multiple cystic lesions of the "emphysematous bulla" type with subcentimeter diameters are present on both sides of the lungs. Fibrous-nodular change of spiculated edges along the left lateral thoracic wall that cannot be demarcated from parietal pleura of open etiology. Positive cultures were found in two sputum lab tests, thus confirming the existence of Mycobacterium avium complex.
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