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A 26-year-old man who smoked and had a long history of poorly controlled asthma and severe environmental allergies was admitted for an exacerbation of asthma. He reported no recent hospitalizations or exposure to tuberculosis and for more than a year had not been taking any medications. A computed tomographic scan was obtained to elucidate multilobar infiltrates that were seen on chest radiographs. Areas of tubular (Panel A, arrows) and cystic (Panel A, arrowhead) bronchiectasis, predominantly in the upper lobes, and bilateral mucous plugging (Panel B, arrows) were seen, along with mediastinal and hilar lymphadenopathy. His white-cell count was 8000 per . . . [Full Text of this Article] |
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