lungs

This is a case of a 68 year patient with both severe bronchiectasis in the upper lobes and mid lung regions and evidence of centrilobular emphysema and the the question raised is if the emphysema and bronchitis led to the bronchiectasis?

There are also feautures of prior TB with calcifications in the right upper lobe

  •  different radiological COPD phenotypes based on the
    • presence and severity of emphysema,
    • bronchial wall thickening, and
    • bronchiectasis.
  • Bronchiectasis caused by
    • chronic airway inflammation and/or infection.
    • prevalence in h COPD is high,
    • especially advanced stages. T
    • it is
      • a different clinical COPD phenotype
      • more frequent chronic bronchial infection
      • more severe
      • and more exacerbations,
      • poor prognosis. A

Diffuse Disease with Bronchiectasis noted in the Upper Lobes

CXR shows diffuse lung disease but findings of bronchiectasis in the upper lobes best identified in the right upper lobe
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 001a
CXR shows diffuse lung disease but findings of bronchiectasis suggested in the upper lobes
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 001b
Atelectasis and Calcification in the RUL raising the possibility that the bronchiectasis may be secondary to TB
Ashley Davidoff MD TheCommonVein.net bronchiectasis 008

Diffuse Disease,  Upper Lobe  and Mid Lung Predominance, Centrilobular Nodules Mosaic Attenuation and Suggestion of Centrilobular Emphysema

CT shows findings of bronchiectasis in the upper lobes best identified in the right upper lobe but evidence of diffuse disease with centrilobular nodules and mosaic attenuation
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 004
Segmental and Subsegmental Bronchiectasis with extension of the disease process into the small airways characterised by distal hyperinflation noted in the left lower lobe
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 005
Segmental and Subsegmental Bronchiectasis dominant in the upper and mid lung zones, with extension of the disease process into the small airways characterised by centrilobular nodules and mosaic attenuation
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 002
Segmental and Subsegmental Bronchiectasis dominant in the upper and mid lung zones, with extension of the disease process into the small airways characterised by centrilobular nodules and mosaic attenuation
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 003
Segmental and Subsegmental Bronchiectasis with mucoid impaction and evidence of small airway disease with areas of mosaic attenuation
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 006
Segmental and Subsegmental Bronchiectasis with evidence of small airway disease with areas of mosaic attenuation
Ashley Davidoff MD TheCommonVein.net 68-bronchiectasis 007

Segmental and Subsegmental Bronchiectasis with extension of the disease process into the small airways characterised by centrilobular nodules and distal hyperinflation noted in the left lower lobe
Ashley Davidoff MD TheCommonVein.net bronchiectasis 006b
Segmental and Subsegmental Bronchiectasis with extension of the disease process into the small airways characterised by centrilobular nodules
Ashley Davidoff MD TheCommonVein.net bronchiectasis 006c

68-bronchiectasis-006d.jpg

 Segmental and Subsegmental Bronchiectasis with extension of the disease process into the small airways characterised by centrilobular nodules
Ashley Davidoff MD TheCommonVein.net bronchiectasis 006d
Segmental and Subsegmental Bronchiectasis with extension of the disease process into the small airways characterised by centrilobular nodules d and mosaic attenuation
Ashley Davidoff MD TheCommonVein.net bronchiectasis 009