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Mycobacterium abscessus infection

Imaging findings

Chest CT shows mild bronchiectasis and large cavitary lesions in the upper lobes in a patient with late-diagnosed, atypical cystic fibrosis, representing colonization and infection by Mycobacterium abscessus.

Key takeaways

Mycobacterium abscessus is an aggressive, highly drug-resistant nontuberculous mycobacterium that commonly infects cystic fibrosis patients. Its presence can lead to severe cavitary lung disease and is a contraindication for lung transplantation.

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