Left lower lobe bronchiectasis

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Chief complaints are cough with sputum, cold, body ache for 3 days, no fever, or difficulty in breathing.

Patient Data

Age: 60 years
Gender: Male
x-ray

PA Chest radiograph shows bilateral reticulations and lucencies at the left lower lung zone, and to a much lesser extent, the right lower lung zone medially, in keeping with bronchiectasis. 

Borderline cardiomegaly.

Zoomed view

x-ray

PA chest radiograph shows bilateral reticulations and lucencies at the left lower lung zone, and to a much lesser extent, the right lower lung zone medially, in keeping with bronchiectasis. 

Case Discussion

  • bronchiectasis may be caused by a congenital disorder in the bronchi, or it may be acquired, following a chronic infection.
  • on chest radiographs, bronchiectasis manifests as tram tracks, parallel line opacities, ring opacities, and tubular structures
  • CT is surely more sensitive than chest radiography for showing bronchiectasis especially the mild cases

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