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Chest X-ray - Pulmonary disease - Bronchiectasis and cystic fibrosis

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Bronchiectasis
Normal comparison Bronchiectasis
Consolidation/Air bronchogram Bronchiectasis may be present even if the X-
Consolidation - Lobar ray is normal – most patients suspected of
having bronchiectasis will need a high
Consolidation - Zonal resolution CT to confirm the diagnosis
Atypical pneumonia Severe bronchiectasis causes coarsening of
the lung markings – very extensive in this
Tuberculosis
case
Lung contusion and haemorrhage

Lung cavity

Bronchiectasis and cystic fibrosis

COPD

Pulmonary fibrosis

Pleural disease

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Bronchiectasis - Cystic fibrosis
Bronchiectasis - Cystic fibrosis
Patients with cystic fibrosis typically develop
bronchiectasis
Chest X-rays are not required to make the
diagnosis, but are helpful to monitor
progression of the disease and to look for
complications such as pneumonia
The ‘portacath’ device is used for long-term
delivery of intravenous drugs

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Page author: Dr Graham Lloyd-Jones BA MBBS MRCP FRCR - Consultant Radiologist - Salisbury NHS Foundation Trust UK (Read bio)
Last reviewed: October 2019

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