Elderly man with productive cough. Chest X-ray shows non-tapering peripheral airway dilatation along with peribronchial thickening.These findings are consistent with that of bronchiectasis.
Plain radiograph can pick up late disease as per this case. Early bronchiectasis may be elusive of plain X-ray. HRCT thorax is the modality of choice in demonstrating bronchiectasis with greater sensitivity.
Picture above is the HRCT of another patient showing bronchiectasis with additional finding of peripheral honeycombing and subpleural fibrosis due to idiopathic fibrosing alveolitis.
HRCT (high resolution CT scan) of the thorax is a special protocol for examining for airway and interstitial diseases involving the lungs. In this technique, non-overlapping, thin collimation of the primary beam with high resolution algorithm are used. This protocol is different from the typical CT thorax which may not be able to demonstrate interstitial disease as clearly as HRCT.
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