Bronchiectasis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: 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 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
• Rectification of the diaphragmatic domes
• Accentuation of the retrosternal space
• Presence of the air below the inferior border of the heart

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