Presentation
Middle aged patient with persistent cough. Occasional sputum.
Patient Data
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.
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.