Cystic bronchiectasis

Case contributed by Dr Bruno Lorensini

Presentation

History of pulmonary TB, presented with dyspnea and thoracic pain.

Patient Data

Age: 68
Gender: Female
X-ray

Left mediastinal shift. Opacities in the left lower lobe, associated with cystic areas around the left lung.

CT

non contrast CT

Observe important involvement of the left lung parenchyma with loss of normal lung architecture, volume reduction and numerous cystic bronchiectasis, covering the whole of the left lung, associated with areas of fibrosis.

Right lung presents with a preserved pulmonary parenchyma and with compensatory hyperinflation. Deviation of the trachea and mediastinal structures to the left.

Case Discussion

Bronchiectasis refers to abnormal dilatation of the bronchial tree and is seen in a variety of clinical settings. It is considered irreversible.

The two main causes of bronchiectasis are post-infectious and cystic fibrosis.

Cystic bronchiectasis are the severe form with cystic-like bronchi that extend to the pleural surface, commonly air-fluid levels are present.

This case illustrates a post-infectious sequelae (pulmonary tuberculosis).

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Case information

rID: 35306
Case created: 31st Mar 2015
Last edited: 22nd Aug 2016
System: Chest
Inclusion in quiz mode: Included

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