Cystic bronchiectasis

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Recurrent chest infection with productive cough. On examination, crackles in the right lower zone.

Patient Data

Age: 50 years
Gender: Male
x-ray
  • multiple thin-walled cystic spaces in the right lung, several of which have air-fluid levels
  • the mediastinum and the heart are mildly shifted to the right side

Case Discussion

  • bronchiectasis may be caused by a congenital disorder in the bronchi, or it may be acquired, following a chronic infection
  • on chest radiographs, bronchiectasis manifests as tram tracks, parallel line opacities, ring opacities, and tubular structures
  • CT is surely more sensitive than chest radiography for showing bronchiectasis especially the mild cases

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