Figure 1

He was admitted to a pediatric hospital two weeks after his first immunology appointment, due to exacerbation of respiratory symptoms. A chest X-ray showed atelectasis in the apex of the right lung, already observed in previous images. Chest tomography (CT) done at this time showed extensive cylindrical bronchiectasis in the upper lobe of the right lung. A group of thoracic surgeons recommended a lobectomy of the right upper lobe for better control of recurrent lung infections. Figure 2 shows the chest CT performed nine months after surgery, during an acute respiratory infection.