Presentation
Left sided pleuritic chest pain
Patient Data
Age: 15 years
Gender: Female
From the case:
Cystic fibrosis
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Right-sided Port-a-Cath, with tip in the right atrium. Normal heart size.
The lungs are hyperinflated. Bilaterally there is bronchiectasis characterized by bronchial dilation and wall thickening. The upper lobes are more severely affected than the lower lobes. There is focal opacification in the upper zones suggesting mucus plugging. No confluent lobar consolidation or pleural effusion. Pleuroparenchymal scarring at both lung apices.
Case Discussion
The appearances are typical for cystic fibrosis. The diagnosis was established on a newborn screening test.
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