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The pulmonary arteries opacify normally without filling defects to a subsegmental level. There has been progression of the bilateral lung scarring, consolidation and bronchiectasis. There is increased cavitation primarily in the right apical region. Some of the opacity within the left lung is ground glass in appearance. Mediastinal lymph nodes are prominent in number but not size. No pleural effusion. Within the limitations of this study, the visualised upper abdominal viscera are unremarkable.No destructive osseous lesion.
Conclusion
No pulmonary emboli detected. There has been progression of the bilateral lung scarring, consolidation, cavitation and bronchiectasis consistent with history of MAC infection.