Cystic bronchiectasis

Case contributed by Ian Bickle
Diagnosis almost certain


Middle aged patient with persistent cough. Occasional sputum.

Patient Data

Age: 56
Gender: Male

Extensive cystic change in the medial segment of the right middle lobe, left lower lobe and medial basal segment of the right lower lobe.

Bronchial wall thickeing with a 'tram track' appearances ( on coronals ) in the left lower lobe.

Annotated image

Dilated bronchi with thickened bronchial walls giving a tram-track appearance in the left lower lobe.

Associated cystic changes in the basal segments of the left lower lobe.

Case Discussion

A case of florid multilobar cystic bronchiectasis.

The cystic nature of this type of bronchiectasis is well illustrated on this CT chest.

On the coronal view the tram-track appearances of thickened bronchial walls are well seen - a sign more commonly associated with plain film.

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