Cystic fibrosis chest x ray: Difference between revisions

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==X Ray==
==X Ray==
* In cystic fibrosis chest radiographs may be normal early in life.
* In cystic fibrosis chest radiographs may be normal early in life.
* The chest radiographic features 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 earlist radiographic sign of cystic fibrosis in 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>


* Findings on an chest x ray suggestive of cystic fibrosis include:<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:
**The chest radiographic features overlap with many other disorders, particularly those characterized by inflammatory or destructive changes of the airways.
**hyperinflation
**Hyperinflation due to mucus plugging of small bronchioles is the earlist radiographic sign of cystic fibrosis in infants and children.
**bronchial thickening and dilatation
**Atelectasis (especially in right upper lobe) is common in infancy.
**peribronchial cuffing
**mucoid impaction
**cystic radiolucencies
**an increase in interstitial markings
**scattered nodular densities


==References==
==References==

Revision as of 14:32, 6 March 2018

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

Overview

X Ray

  • In cystic fibrosis chest radiographs may be normal early in life.
  • The chest radiographic features 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 earlist 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:
    • hyperinflation
    • bronchial thickening and dilatation
    • peribronchial cuffing
    • mucoid impaction
    • cystic radiolucencies
    • an increase in interstitial markings
    • scattered nodular densities

References

  1. 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.

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