Hi @thomason , Sorry to hear about your difficulties. If you have not tried airway clearance, e.g the Aerobika or a vest in addition to nebulizing, you might want to discuss with your doctor, as this might help you to remove the mucus more effectively.
Also, if there is any question of aspiration, as raised by the CT report, you might want to try GERD precautions, eg sleeping on a slant, minimizing evening meals etc.
Are you able to travel to see an appropriate specialist?
Hope things start to improve for you