Cystic fibrosis chest x ray: Difference between revisions
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{{CMG}}; {{AE}} {{SHH}} | {{CMG}}; {{AE}} {{SHH}} | ||
==Overview== | ==Overview== | ||
In cystic fibrosis the chest radiographic features may overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways. Atelectasis is common in infancy. Most patients with CF demonstrate some of the classic chest radiographic findings that reflect chronic bronchiectasis | In cystic fibrosis the [[Chest X-ray|chest radiographic]] features may overlap with many other disorders, particularly those characterized by [[Inflammation|inflammatory]] or destructive changes of the [[Airway|airways]]. [[Atelectasis]] is common in [[Infant|infancy]]. Most patients with CF demonstrate some of the classic [[Chest X-ray|chest radiographic]] findings that reflect chronic [[bronchiectasis]], including hyperinflation, [[Peribronchial cuffing|peribronchial thickening]] and [[Dilation|dilatation]], [[peribronchial cuffing]], [[Mucoid plaque|mucoid impaction]], [[Cyst|cystic]] radiolucencies, increase in [[interstitial]] marking, and scattered [[Nodule (medicine)|nodular]] densities. | ||
==X Ray== | ==X Ray== | ||
* In cystic fibrosis chest radiographs may be normal early in life. | * In cystic fibrosis [[Chest X-ray|chest radiographs]] may be normal early in life. | ||
* The chest radiographic features may overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways. | * The [[Chest X-ray|chest radiographic]] features may overlap with many other disorders, particularly those characterized by [[Inflammation|inflammatory]] or destructive changes of the [[Airway|airways]]. | ||
* Hyperinflation due to mucus plugging of small bronchioles is the | * Hyperinflation due to [[Mucoid plaque|mucus plugging]] of small [[Bronchiole|bronchioles]] is the earliest [[Radiography|radiographic]] sign of cystic fibrosis in [[Infant|infants]] and children. | ||
* Atelectasis (especially in right upper lobe) is common in infancy.<ref name="pmid24605255">{{cite journal |vauthors=Odev K, Guler I, Altinok T, Pekcan S, Batur A, Ozbiner H |title=Cystic and cavitary lung lesions in children: radiologic findings with pathologic correlation |journal=J Clin Imaging Sci |volume=3 |issue= |pages=60 |date=2013 |pmid=24605255 |pmc=3935260 |doi=10.4103/2156-7514.124087 |url=}}</ref> | * [[Atelectasis]] (especially in right upper lobe) is common in [[Infant|infancy]].<ref name="pmid24605255">{{cite journal |vauthors=Odev K, Guler I, Altinok T, Pekcan S, Batur A, Ozbiner H |title=Cystic and cavitary lung lesions in children: radiologic findings with pathologic correlation |journal=J Clin Imaging Sci |volume=3 |issue= |pages=60 |date=2013 |pmid=24605255 |pmc=3935260 |doi=10.4103/2156-7514.124087 |url=}}</ref> | ||
*Most patients with CF demonstrate some of the classic chest radiographic findings that reflect chronic bronchiectasis:<ref name="pmid1475543">{{cite journal |vauthors=Grum CM, Lynch JP |title=Chest radiographic findings in cystic fibrosis |journal=Semin Respir Infect |volume=7 |issue=3 |pages=193–209 |date=September 1992 |pmid=1475543 |doi= |url=}}</ref><ref name="pmid24065629">{{cite journal |vauthors=Vult von Steyern K, Björkman-Burtscher IM, Geijer M |title=Radiography, tomosynthesis, CT and MRI in the evaluation of pulmonary cystic fibrosis: an untangling review of the multitude of scoring systems |journal=Insights Imaging |volume=4 |issue=6 |pages=787–98 |date=December 2013 |pmid=24065629 |pmc=3846934 |doi=10.1007/s13244-013-0288-y |url=}}</ref> | *Most patients with CF demonstrate some of the classic [[Chest X-ray|chest radiographic]] findings that reflect [[Chronic (medical)|chronic]] [[bronchiectasis]]:<ref name="pmid1475543">{{cite journal |vauthors=Grum CM, Lynch JP |title=Chest radiographic findings in cystic fibrosis |journal=Semin Respir Infect |volume=7 |issue=3 |pages=193–209 |date=September 1992 |pmid=1475543 |doi= |url=}}</ref><ref name="pmid24065629">{{cite journal |vauthors=Vult von Steyern K, Björkman-Burtscher IM, Geijer M |title=Radiography, tomosynthesis, CT and MRI in the evaluation of pulmonary cystic fibrosis: an untangling review of the multitude of scoring systems |journal=Insights Imaging |volume=4 |issue=6 |pages=787–98 |date=December 2013 |pmid=24065629 |pmc=3846934 |doi=10.1007/s13244-013-0288-y |url=}}</ref> | ||
**Hyperinflation | **Hyperinflation | ||
**Bronchial thickening and dilatation | **[[Bronchiole|Bronchial]] thickening and [[Dilation|dilatation]] | ||
**Peribronchial cuffing | **[[Peribronchial cuffing]] | ||
**Mucoid impaction | **[[Mucoid plaque|Mucoid]] impaction | ||
**Cystic radiolucencies | **[[Cyst|Cystic]] radiolucencies | ||
**Increase in interstitial markings | **Increase in [[interstitial]] markings | ||
**Scattered nodular densities | **Scattered [[Nodule (medicine)|nodular]] densities | ||
*Abdominal [[X-rays|x ray]] may show dilated loops of bowel. | |||
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[[File:Meconium-ileus-neonate-with-cystic-fibrosis.jpg|thumb|200px|left|Dilated loops of bowel Source:Case courtesy of Dr Michael Sargent, Radiopaedia.org, rID: 6009<ref name="urlCystic fibrosis | Radiology Case | Radiopaedia.org">{{cite web |url=https://radiopaedia.org/cases/cystic-fibrosis-2 |title=Cystic fibrosis | Radiology Case | Radiopaedia.org |format= |work= |accessdate=}}</ref>]] | |||
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[[File:Cystic-fibrosis-2.jpeg|thumb|200px|left|Advanced bronchiectasis: ring shadows and tram-track opacities are seen throughout both lungs, particularly well in the uppers zone Source: Case courtesy of A.Prof Frank Gaillard, Radiopaedia.org, rID: 8247<ref name="urlCystic fibrosis | Radiology Case | Radiopaedia.org">{{cite web |url=https://radiopaedia.org/cases/cystic-fibrosis-2 |title=Cystic fibrosis | Radiology Case | Radiopaedia.org |format= |work= |accessdate=}}</ref>]] | |||
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==References== | ==References== | ||
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[[Category: | [[Category:Medicine]] | ||
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[[Category:Gastroenterology]] | |||
[[Category:Pediatrics]] | |||
[[Category:Pulmonology]] | |||
Latest revision as of 20:44, 29 March 2018
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Cystic fibrosis Microchapters |
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Cystic fibrosis chest x ray On the Web |
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American Roentgen Ray Society Images of Cystic fibrosis chest x ray |
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Risk calculators and risk factors for Cystic fibrosis chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shaghayegh Habibi, M.D.[2]
Overview
In cystic fibrosis the chest radiographic features may overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways. Atelectasis is common in infancy. Most patients with CF demonstrate some of the classic chest radiographic findings that reflect chronic bronchiectasis, including hyperinflation, peribronchial thickening and dilatation, peribronchial cuffing, mucoid impaction, cystic radiolucencies, increase in interstitial marking, and scattered nodular densities.
X Ray
- In cystic fibrosis chest radiographs may be normal early in life.
- The chest radiographic features may overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways.
- Hyperinflation due to mucus plugging of small bronchioles is the earliest radiographic sign of cystic fibrosis in infants and children.
- Atelectasis (especially in right upper lobe) is common in infancy.[1]
- Most patients with CF demonstrate some of the classic chest radiographic findings that reflect chronic bronchiectasis:[2][3]
- Hyperinflation
- Bronchial thickening and dilatation
- Peribronchial cuffing
- Mucoid impaction
- Cystic radiolucencies
- Increase in interstitial markings
- Scattered nodular densities
- Abdominal x ray may show dilated loops of bowel.
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References
- ↑ Odev K, Guler I, Altinok T, Pekcan S, Batur A, Ozbiner H (2013). "Cystic and cavitary lung lesions in children: radiologic findings with pathologic correlation". J Clin Imaging Sci. 3: 60. doi:10.4103/2156-7514.124087. PMC 3935260. PMID 24605255.
- ↑ Grum CM, Lynch JP (September 1992). "Chest radiographic findings in cystic fibrosis". Semin Respir Infect. 7 (3): 193–209. PMID 1475543.
- ↑ Vult von Steyern K, Björkman-Burtscher IM, Geijer M (December 2013). "Radiography, tomosynthesis, CT and MRI in the evaluation of pulmonary cystic fibrosis: an untangling review of the multitude of scoring systems". Insights Imaging. 4 (6): 787–98. doi:10.1007/s13244-013-0288-y. PMC 3846934. PMID 24065629.
- ↑ 4.0 4.1 "Cystic fibrosis | Radiology Case | Radiopaedia.org".