Middle lobe pneumonia, mucous plugging and bronchiectasis in cystic fibrosis
Diagnosis certain
Presentation
Shortness of breath and fever. Recurrent chest infections on a background of cystic fibrosis.
Patient Data
Age: 20 years
Gender: Male
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Airspace opacification in the right middle and lower zones, abutting the horizontal fissure superiorly. The right heart border is preserved. Upper lobe tubular densities radiating from the hila. Minor tram-track densities in the left lower zone and right mid zone.
Case Discussion
This CXR shows 3 concurrent manifestations of cystic fibrosis.