Figure 3: Chest X-ray and chest CT findings in Case . Chest X-ray showing stable bilateral nodular opacities and lower lobe predominant interstitial reticular thickening with new small bilateral pleural effusions (a, b). CT of the chest reveals bronchiectasis in the right middle and lingular lobes (c) and tree-in-bud nodular infiltrates in the bilateral lower lobes with new bilateral moderate pleural effusions.