Case contributed by Barry Stevens
Diagnosis almost certain


Clinical Indications: shortness of breath, weight loss, crepitations. Recurrent cough ?TB ?NG.

Patient Data

Age: 60 years
Gender: Female

Chest x-ray 1


Extensive interstitial shadows/fibrosis. Bulky, elevated hilum.

15 months later


Increased interstitial shadows/fibrotic changes, pleural thickening and bronchiectatic changes.

Case Discussion

This patient was subsequently referred for a CT Chest which confirmed a final diagnosis of bilateral bronchiectasis of the right lung and the left upper lobe.

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