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Cystic Fibrosis with Tram Tracking and Atelectasis with Air Bronchograms.

Slotto JS - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cystic Fibrosis with Tram Tracking and Atelectasis with Air Bronchograms.

History: Patient as known, long-standing cystic fibrosis and was admitted to the inpatient ward with 3 days of productive cough. This patient's images are compared to a 53 year old female with post-operative bilateral atelectasis.

Findings: The Patient with Cystic Fibrosis has multiple findings to include trams-tracking and signet rings. The Post-Operative patient with atelectasis shows a complete air bronchogram in the left lower lung field due and a smaller air bronchogram in the right lower lung field. There is overall increased density of both lower lung fields.

Ddx: Tram Tracks can appear in cases of COPD, Asthma, and from any cause of bronchiectasis, such as: •Cystic Fibrosis •Kartagener's Syndrome •Pulmonary Fibrosis •Chronic or Necrotizing Bronchitis The differential for air bronchograms is extensive, relating to the long list of causes of Consolidation, Atelectasis, and Interstitial Thickening: •Consolidation »Embolism, Contusion »Pneumonia, ARDS, Congestion »Mucous plugging, Alveolar Proteinosis »Alveolar Cell Carcinoma, Lymphoma •Atelectasis »Obstructive, Compressive, Adhesive, Cicatrization •Interstitial Thickening »Inflammation, Edema, Fibrosis, Malignant Lymphangitic Spread, Granuloma, Pneumoconiosis.

Dxhow: Cystic Fibrosis was a long-standing known diagnosis. Post-operative atelctasis was diagnosed by a combination of history and chest-x-ray findings.

Exam: Both patients presented with decreased breath sounds bilaterally.

No MeSH data available.


This patient demonstrates multiple tram tracks, the most visible being in the right middle lung field, raditating out from the hilum. Chronic mucus plugging from CF leads to bronchiectasis (irreversible dilation of bronchi) and the associated tram tracks. Also visible are several bronchi \"on end\", that when seen with a visible pulmonary artery give the signet ring sign.
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MPX1138_synpic39406: This patient demonstrates multiple tram tracks, the most visible being in the right middle lung field, raditating out from the hilum. Chronic mucus plugging from CF leads to bronchiectasis (irreversible dilation of bronchi) and the associated tram tracks. Also visible are several bronchi \"on end\", that when seen with a visible pulmonary artery give the signet ring sign.


Cystic Fibrosis with Tram Tracking and Atelectasis with Air Bronchograms.

Slotto JS - MedPix (2007)

This patient demonstrates multiple tram tracks, the most visible being in the right middle lung field, raditating out from the hilum. Chronic mucus plugging from CF leads to bronchiectasis (irreversible dilation of bronchi) and the associated tram tracks. Also visible are several bronchi \"on end\", that when seen with a visible pulmonary artery give the signet ring sign.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1138&req=5

MPX1138_synpic39406: This patient demonstrates multiple tram tracks, the most visible being in the right middle lung field, raditating out from the hilum. Chronic mucus plugging from CF leads to bronchiectasis (irreversible dilation of bronchi) and the associated tram tracks. Also visible are several bronchi \"on end\", that when seen with a visible pulmonary artery give the signet ring sign.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cystic Fibrosis with Tram Tracking and Atelectasis with Air Bronchograms.

History: Patient as known, long-standing cystic fibrosis and was admitted to the inpatient ward with 3 days of productive cough. This patient's images are compared to a 53 year old female with post-operative bilateral atelectasis.

Findings: The Patient with Cystic Fibrosis has multiple findings to include trams-tracking and signet rings. The Post-Operative patient with atelectasis shows a complete air bronchogram in the left lower lung field due and a smaller air bronchogram in the right lower lung field. There is overall increased density of both lower lung fields.

Ddx: Tram Tracks can appear in cases of COPD, Asthma, and from any cause of bronchiectasis, such as: •Cystic Fibrosis •Kartagener's Syndrome •Pulmonary Fibrosis •Chronic or Necrotizing Bronchitis The differential for air bronchograms is extensive, relating to the long list of causes of Consolidation, Atelectasis, and Interstitial Thickening: •Consolidation »Embolism, Contusion »Pneumonia, ARDS, Congestion »Mucous plugging, Alveolar Proteinosis »Alveolar Cell Carcinoma, Lymphoma •Atelectasis »Obstructive, Compressive, Adhesive, Cicatrization •Interstitial Thickening »Inflammation, Edema, Fibrosis, Malignant Lymphangitic Spread, Granuloma, Pneumoconiosis.

Dxhow: Cystic Fibrosis was a long-standing known diagnosis. Post-operative atelctasis was diagnosed by a combination of history and chest-x-ray findings.

Exam: Both patients presented with decreased breath sounds bilaterally.

No MeSH data available.