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Cystic fibrosis with bronchiectasis

USU Teaching File MUTF - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cystic fibrosis with bronchiectasis

History: Asymptomatic 20 y/o male with known history of lung disease presents for pre-operative evaluation

Findings: Trachea is midline. The lungs are hyperinflated. Bony structures are without abnormality. A catheter is noted entering the right subclavian vein with the tip in the superior vena cava. Cardiac borders are well delineated. The costophrenic angles are clear. No evidence of effusion or infiltrate. There are diffuse thickened airway walls, seen most prominently in the upper lobes, right greater than left. Tram tracking is present, consistent with bronchiectasis. Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.

Ddx: Cystic fibrosis, interstitial lung disease, advanced sarcoidosis, chronic hypersensitivity pneumonitis

Exam: Patient not seen by radiology so no physical examination was performed.No laboratory tests ordered on this visit. Studies of the previous year included: Amylase/Lipase low normal Vitamin A: 0.16 (0.3-0.65 ng/L) Carotene: 0 (4-51 ug/dL) Vitamin E: 2.4 (5-20 ng/L) History of multiple sputum cultures positive for Pseudomonas aeruginosa

No MeSH data available.


Trachea is midline.  The lungs are hyperinflated.  Bony structures are without abnormality.  A catheter is noted entering the right subclavian vein with the tip in the superior vena cava.  Cardiac borders are well delineated.  The costophrenic angles are clear.  No evidence of effusion or infiltrate.  There are diffuse airway wall thickened bilaterally seen most prominently in the upper lobes, right greater than left.  Tram tracks are seen best in the left middle lung field are consistent with bronchiectasis.  Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.
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MPX2198_synpic17069: Trachea is midline. The lungs are hyperinflated. Bony structures are without abnormality. A catheter is noted entering the right subclavian vein with the tip in the superior vena cava. Cardiac borders are well delineated. The costophrenic angles are clear. No evidence of effusion or infiltrate. There are diffuse airway wall thickened bilaterally seen most prominently in the upper lobes, right greater than left. Tram tracks are seen best in the left middle lung field are consistent with bronchiectasis. Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.


Cystic fibrosis with bronchiectasis

USU Teaching File MUTF - MedPix

Trachea is midline.  The lungs are hyperinflated.  Bony structures are without abnormality.  A catheter is noted entering the right subclavian vein with the tip in the superior vena cava.  Cardiac borders are well delineated.  The costophrenic angles are clear.  No evidence of effusion or infiltrate.  There are diffuse airway wall thickened bilaterally seen most prominently in the upper lobes, right greater than left.  Tram tracks are seen best in the left middle lung field are consistent with bronchiectasis.  Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2198&req=5

MPX2198_synpic17069: Trachea is midline. The lungs are hyperinflated. Bony structures are without abnormality. A catheter is noted entering the right subclavian vein with the tip in the superior vena cava. Cardiac borders are well delineated. The costophrenic angles are clear. No evidence of effusion or infiltrate. There are diffuse airway wall thickened bilaterally seen most prominently in the upper lobes, right greater than left. Tram tracks are seen best in the left middle lung field are consistent with bronchiectasis. Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Cystic fibrosis with bronchiectasis

History: Asymptomatic 20 y/o male with known history of lung disease presents for pre-operative evaluation

Findings: Trachea is midline. The lungs are hyperinflated. Bony structures are without abnormality. A catheter is noted entering the right subclavian vein with the tip in the superior vena cava. Cardiac borders are well delineated. The costophrenic angles are clear. No evidence of effusion or infiltrate. There are diffuse thickened airway walls, seen most prominently in the upper lobes, right greater than left. Tram tracking is present, consistent with bronchiectasis. Minor fissure is elevated on the right indicating loss of volume of the right upper lobe.

Ddx: Cystic fibrosis, interstitial lung disease, advanced sarcoidosis, chronic hypersensitivity pneumonitis

Exam: Patient not seen by radiology so no physical examination was performed.No laboratory tests ordered on this visit. Studies of the previous year included: Amylase/Lipase low normal Vitamin A: 0.16 (0.3-0.65 ng/L) Carotene: 0 (4-51 ug/dL) Vitamin E: 2.4 (5-20 ng/L) History of multiple sputum cultures positive for Pseudomonas aeruginosa

No MeSH data available.