Cystic fibrosis

Case contributed by Faisal Shadab
Diagnosis certain

Presentation

Known case of cystic fibrosis, complicated with ABPA and chronic Staphylococcus aureus infection.

Patient Data

Age: 10 years
Gender: Female
ct
This study is a stack
Coronal C+ portal
venous phase
This study is a stack
Axial C+ portal
venous phase
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Info

The tip of the port catheter is seen at the confluence of the SVC and brachiocephalic veins.

Extensive bilateral fusiform and cystic bronchiectasis, bronchial wall thickening, and endobronchial mucous plugging, more marked in the right lung. Both lungs are hyperinflated. Peribronchial patchy consolidation.

Case Discussion

Pulmonary manifestations of cystic fibrosis classically include chronic bronchiectasis with bronchial wall thickening and endobronchial mucus plugging. 

This girl presented with an acute exacerbation of chest infection and was due to commence cystic fibrosis transmembrane conductance regulator (CFTR) treatment.

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