Presentation
Long history of respiratory wheeze and chronic cough.
Patient Data
Age: 35 years
Gender: Male
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Chest x-ray demonstrates tubular branching opacities in the right upper lobe. In the left upper lobe a number of parallel lines extending from the hilum (tram track) suggest bronchiectasis.
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Single image through the upper zones confirms the presence of bronchiectasis on the left (somewhat movement degraded). On the right many of the dilated bronchi are filled with secretions.
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"Glove like" opacity in the right upper zone (yellow dotted line) represents sputum plugged bronchiectasis. Air-filled bronchiectasis is seen bilaterally (green arrows).
Case Discussion
These films demonstrate characteristic appearances of ABPA.