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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.


Experimental Analog showing Tram Tracking using a sponge and a straw. The sponge provides the "normal background" density and the straw has been wrapped in tape to increase its edge profile. The left image is plain film X-ray, showing a straw in the perpendicular axis, as well as a straw on an oblique angle that shows tram tracking down to the end of the straw. The left image is a CT showing tram tracking surrounded by "normal" sponge.
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MPX1138_synpic39412: Experimental Analog showing Tram Tracking using a sponge and a straw. The sponge provides the "normal background" density and the straw has been wrapped in tape to increase its edge profile. The left image is plain film X-ray, showing a straw in the perpendicular axis, as well as a straw on an oblique angle that shows tram tracking down to the end of the straw. The left image is a CT showing tram tracking surrounded by "normal" sponge.


Cystic Fibrosis with Tram Tracking and Atelectasis with Air Bronchograms.

Slotto JS - MedPix (2007)

Experimental Analog showing Tram Tracking using a sponge and a straw. The sponge provides the "normal background" density and the straw has been wrapped in tape to increase its edge profile. The left image is plain film X-ray, showing a straw in the perpendicular axis, as well as a straw on an oblique angle that shows tram tracking down to the end of the straw. The left image is a CT showing tram tracking surrounded by "normal" sponge.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1138_synpic39412: Experimental Analog showing Tram Tracking using a sponge and a straw. The sponge provides the "normal background" density and the straw has been wrapped in tape to increase its edge profile. The left image is plain film X-ray, showing a straw in the perpendicular axis, as well as a straw on an oblique angle that shows tram tracking down to the end of the straw. The left image is a CT showing tram tracking surrounded by "normal" sponge.

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.