Chronic bronchitis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

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Overview

Generally, chest x ray is not recommended for chronic bronchitis diagnosis, but it is common to order it to rule out other cause of dyspnea and productive cough such as: pneumonia and heart failure. The common findings for chronic bronchitis includes: hyperinflation and hyperlucency of the lungs.

Chest X Ray

Its findings are not sensitive or specific for chronic bronchitis but it is helpful to look for other diagnosis other than COPD that might cause the patients' symptoms including: pneumonia, CHF or even lung cancer. The common radiologic findings include[1]:

  • Radiolucency,
  • Diaphragmatic flattening due to hyperinflation
  • Increased retrosternal airspace on the lateral radiograph








Note that flattened diaphragm and increased intercostal spaces due to hyperinflation.

References

  1. Mehta GR, Mohammed R, Sarfraz S, Khan T, Ahmed K, Villareal M, Martinez D, Iskander J, Mohammed R (2016). "Chronic obstructive pulmonary disease: A guide for the primary care physician". Dis Mon. 62 (6): 164–87. doi:10.1016/j.disamonth.2016.03.002. PMID 27087562.

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