Cystic fibrosis

Case contributed by Mostafa Elfeky
Diagnosis probable

Presentation

History of chronic sinusitis and recurrent chest infection, 2 times admission within a year. He is on prophylactic azithromycin.

Patient Data

Age: 5 years
Gender: Male

At age of 5 years

x-ray
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Increased lung volume with diffuse bronchiectatic changes, peribronchial cuffing, coarse interstitial markings, interstitial infiltrates and small patchy airspace opacities.

Bilateral dense hilum suspicious of hilar lymphadenopathy.

At age of 1 year

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Diffuse ground-glass veiling on both lung fields, suggestive of pulmonary infection.

Case Discussion

Findings are in keeping with the known diagnosis of cystic fibrosis. It usually manifests with recurrent pulmonary infection.

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