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An eight-year-old boy was admitted to the hospital because of a history of respiratory problems and evidence of bronchiectasis.
The boy had been well until three months before admission, when he was seen by a physician because of a cough and low-grade fever. Chest radiographs (Figure 1) showed densely opacified right lower and middle lobes, which were sharply marginated, associated with volume loss and areas of bronchiectasis. There was an area of poorly defined opacification in the left lower lobe. An antibiotic was prescribed, but repeated radiographs remained abnormal. Two months before admission, a computed tomographic (CT) scan
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Dr. Robert H. Cleveland's Diagnosis
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References
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N Engl J Med 1999;
340:738-739, Mar 4, 1999.
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