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Cystic bronchiectasis

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Retired male with history of childhood infection and chronic cough.

Patient Data

Age: 65 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

 

x-ray

Hyperinflated lungs.

Multiple thin walled cystic spaces in the right lung, several of have air-fluid levels in the dependent position.

ct

Selected CT images illustrate the large cystic spaces, some of which contain fluid.

The left lung is normal.

Case Discussion

Bronchiectasis can be very variable in its extent.

This case is one of the more extreme examples with large cystic spaces.  This typically occurs following a childhood infection - in this case hence the unilaterality of the appearances.

Patients are prone to secondary infection, at which time fluid levels may develop within the cystic spaces.

 

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