The imaging of this case is typical for post-primary pulmonary tuberculosis with cavities, endobronchial thickening and tree-in-bud opacity. The patient proceeded to bronchoscopy: 

Mycobacterial investigations

Specimen Type: Sputum 

Microscopy: Auramine-Rhodamine Stain: +++ (> 10 Acid fast bacilli DETECTED per HPF) 

DNA Amplification Assay for M. tuberculosis Complex (PCR): DETECTED