Case 227

Medical History

A six year-old male patient attends the emergency department of HC-UFMG complaining of productive cough and dyspnea. Mother reports a previous diagnosis of cystic fibrosis with Pseudomonas aeruginosa colonization of the mucoid type and Stphilococcus aureus sensitive to oxacicline. In use of azithromycin, Creon®, colimicina and salmeterol associated with fluticasone. O2 saturation of 86% was observed. A computed tomography (CT) of the chest was request.

Computerized High-resolution tomography (CT), pulmonary window, on expiry, carina level.

Which of the following findings is not observed in the requested image:

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