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Mycobacterium intracellulare infection

Imaging findings

Serial chest radiographs and CT scans show a long-standing, slowly progressive fibrocavitary process in the left lower lobe with a thick-walled cavity and gravitational bronchiectasis, in a patient with a history of prior breast cancer treatment.

Key takeaways

Mycobacterium intracellulare can cause chronic, indolent, slowly progressive fibrocavitary lung disease. While typically seen in elderly women or immunocompromised patients, it can persist for decades once established.

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