 Admission chest computed tomography, transverse view of upper lobes, shows dominant right upper lobe intracavitary lesion. The central component is 2.1 × 2.3 cm (previously 2.0 × 2.3 cm). The mural nodule within this cavitation is 2.1 × 1.2 cm (previously 1.5 × 1.0 cm) and thin walled. Imaging shows progression of right upper lobe bullous emphysema and cystic bronchiectatic changes. 