Cystic bronchiectasis - cystic fibrosis

Case contributed by Naim Qaqish , 16 Feb 2020
Diagnosis certain
Changed by Daniel J Bell, 26 Feb 2020

Updates to Case Attributes

Presentation was changed:
The patient is known to haveKnown bronchiectasis and mitral regurgitation presents with shortness of breath through A&E department for evaluation.to the ED
Age changed from 40 years old to 40 years.
Body was changed:

This patient with known to have bronchiectasis presented with shortness of breath, upon evaluation of his x-ray it was evidentevidently involving the entire right lung and a high-resolution chest CT scan was further requested for better assessment of lung disease demonstrating variable subtypes of bronchiectasis with distorted lung parenchymal architecture. Sweat

The sweat chloride test was advised by the radiology resident on call and, which confirmed diagnosis of Cystic Fibrosiscystic fibrosis.

  • -<p>This patient known to have bronchiectasis presented with shortness of breath, upon evaluation of his x-ray it was evident involving the entire right lung and a high-resolution chest CT scan was further requested for better assessment of lung disease demonstrating variable subtypes of bronchiectasis with distorted lung parenchymal architecture. Sweat chloride test was advised by the radiology resident on call and confirmed diagnosis of Cystic Fibrosis.</p>
  • +<p>This patient with known bronchiectasis presented with shortness of breath, upon evaluation of his x-ray it was evidently involving the entire right lung and a high-resolution chest CT was further requested for better assessment of lung disease demonstrating variable subtypes of bronchiectasis with distorted lung parenchymal architecture.</p><p>The <a title="Cystic fibrosis" href="/articles/cystic-fibrosis">sweat chloride test</a> was advised by the radiology resident on call, which confirmed diagnosis of <a title="Cystic fibrosis (pulmonary manifestations)" href="/articles/cystic-fibrosis-pulmonary-manifestations-1">cystic fibrosis</a>.</p>

Updates to Study Attributes

Findings was changed:

Severe fibrotic changes of the entire right lung associated with volume loss and marked ipsilateral mediastinal shift, with cystic bronchiectasis throughout (signet(signet ring sign).

Massive compensatory hyperinflation of the left upper lobe is observed, with cystic and tractional cylindrical bronchiectasis seen mainly involving the anteromedial basal segment of the left lower lobe and, to a lesser degree, the lingula.

Few atelectatic bands atof the left lower lobe.

A small air bubble is seen at the right posterolateral aspect of the trachea at the thoracic inlet level suggestive of a paratracheal air cyst or tracheal diverticulum.

No pleural effusion.

No significant hilar or mediastinal lymphadenopathy.

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