CXR Case 003

55 yo lady presents with worsening chronic cough and wheeze


Describe and interpret this CXR and CT

CHEST X-RAY INTERPRETATION

This CXR demonstrates bronchiectasis.

There are coarse, thickened airway markings with ring shadows bilaterally, but worse in the left upper lobe (obscuring the heart border) and left lower lobe, obstructing the hemidiaphragm.

There is also scoliosis of the spine*

The CT demonstrates bronchiectais with markedly dilated airways and thickened airway walls with patches of sputum plugging.


CLINICAL CORRELATION

Concurrent airways disease is common in bronchiectasis and should be treated similarly to acute asthma


CLINICAL PEARLS

Bronchiectasis patients frequently have airways obstruction which behaves similarly to asthma in presentation and response to treatment.


TOP 150 CXR SERIES



Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic| Top 100 CXR | Google Scholar |

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.