Bronchiectasis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2], Saarah T. Alkhairy, M.D.

Overview

Although the chest x-ray is not used for diagnosing bronchiectasis, it can be used for patients with respiratory symptoms who are suspected in having any of the differential diagnoses.

Bronchiectasis Chest X-ray

The chest x-ray findings for bronchiectasis are as follows:[1]

  • The chest x-ray is not sensitive for diagnosing bronchiectasis
  • Recommended for the differential diagnosis of the patient with respiratory symptoms
  • With severe bronchiectasis, the x-ray will show dilation of large airways
    • Characterized by thickening of the peribronchovascular interstitium
  • In obstructive disease, the x-ray will show lung hyperinflation and is characterized by
    • Increase in the lung volume
    • Increase in the intercostal spaces
    • Flattening of the diaphragmatic domes
    • Accentuation of the retrosternal space
    • Presence of the air below the inferior border of the heart

X-ray


References

  1. O'Donnell, Anne E. (2008). "Bronchiectasis". Chest. 134 (4): 815–823. doi:10.1378/chest.08-0776. ISSN 0012-3692.

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