Case 405

Medical history

Woman, 31 years-old, attends to pneumologist appointment complaining of dyspnea, fatigue and cough for four months, with progressive worsening of the symptoms. Diagnosis of asthma in the childhood, with intense crisis and 3-times history of pneumonia in the last year. Denies smoking. Started asthma treatment and requested a chest X-ray, that showed an atelectasis zone in the middle lobe of the right lung. At follow-up, there was an improvement in dyspnea and cough, but with the persistence of respiratory wheezes in the right lung during auscultation. Requested chest CT and bronchoscopy.



Question:
According to the clinical history, physical examinations and image findings, which is the most likely diagnosis for this patient?

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