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Computed tomography (CT) of the thorax demonstrated an enlarged trachea, measuring 3.5 cm in sagittal dimension, with bizarre eccentric configurations and diverticula (Fig 2). Main bronchi were ectatic. Findings suggested type 2 MounierKuhn syndrome. Bronchiectasis with centrilobular nodules in a tree-in-bud pattern were also noted in the right middle and lower lobes and lingular segment (Fig 3), suggestive of active endobronchial sepsis.

Mounier-Kuhn syndrome: an unusual underlying cause for chronic coughs and recurrent pneumonias