Chronic bronchitis chest x ray: Difference between revisions

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==Overview==
==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 includes: hyperinflation and hyperlucency of the lungs.
Generally, chest x ray is not recommended for chronic bronchitis diagnosis, but it is common to order it to rule out other causes 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==
==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]].
X-ray findings are not sensitive or specific for chronic bronchitis but it is helpful to look for diagnoses other than [[COPD]] that might cause the patient's symptoms including: [[pneumonia]], [[CHF|congestive heart failure]], or even [[lung cancer]]. Common radiologic findings include<ref name="pmid27087562">{{cite journal |vauthors=Mehta GR, Mohammed R, Sarfraz S, Khan T, Ahmed K, Villareal M, Martinez D, Iskander J, Mohammed R |title=Chronic obstructive pulmonary disease: A guide for the primary care physician |journal=Dis Mon |volume=62 |issue=6 |pages=164–87 |year=2016 |pmid=27087562 |doi=10.1016/j.disamonth.2016.03.002 |url=}}</ref>:
The common radiologic findings include<ref name="pmid27087562">{{cite journal |vauthors=Mehta GR, Mohammed R, Sarfraz S, Khan T, Ahmed K, Villareal M, Martinez D, Iskander J, Mohammed R |title=Chronic obstructive pulmonary disease: A guide for the primary care physician |journal=Dis Mon |volume=62 |issue=6 |pages=164–87 |year=2016 |pmid=27087562 |doi=10.1016/j.disamonth.2016.03.002 |url=}}</ref>:
*Radiolucency
*Radiolucency,
*Diaphragmatic flattening due to hyperinflation
*Diaphragmatic flattening due to hyperinflation
*Increased retrosternal airspace on the lateral radiograph
*Increased retrosternal airspace on the lateral radiograph
[[Image:xray.jpg|150px|left||]]


[[Image:xray.jpg|450px|left]]
<br clear="left"/>
Note the flattened diaphragm and increased intercostal spaces due to hyperinflation.


Note that flattened diaphragm and increased intercostal spaces due to hyperinflation.
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
 
[[Category:Disease]]
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[[Category:Infectious disease]]

Latest revision as of 20:56, 29 July 2020

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 causes 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

X-ray findings are not sensitive or specific for chronic bronchitis but it is helpful to look for diagnoses other than COPD that might cause the patient's symptoms including: pneumonia, congestive heart failure, or even lung cancer. Common radiologic findings include[1]:

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


Note the 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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