Plain chest radiology |
Transient changes |
Perihilar infiltrates simulating adenopathy |
Air–fluid levels from dilated central bronchi filled with fluid and debris |
Massive consolidation: unilateral or bilateral |
Radiological infiltrates |
“Toothpaste” shadows due to mucoid impaction in damaged bronchi |
“Gloved finger” shadows from distally occluded bronchi filled with secretions |
“Tramline” shadows representing oedema of the bronchial walls |
Collapse: lobar or segmental |
Permanent changes |
Central bronchiectasis with normal peripheral bronchi |
Parallel-line shadows representing bronchial widening |
Ring-shadows 1–2 cm in diameter representing dilated bronchi en face |
Pulmonary fibrosis |
Late changes: cavitation, contracted upper lobes and localised emphysema |
Computed tomography findings |
Bronchial abnormalities |
Bronchiectasis, usually central, as characterised by the “signet ring” and “string of pearls” appearances |
Dilated bronchi with or without air–fluid levels |
Totally occluded bronchi |
Bronchial wall thickening |
Parallel-line opacities extending to the periphery |
High attenuation mucus plugs |
Parenchymal changes |
Consolidation |
Non-homogeneous patchy opacities |
Parenchymal scarring of varying extent |
Segmental or lobar collapse |
Cavitation |
Emphysematous bullae |
Pleural involvement |
Pleural effusions |
Spontaneous pneumothorax |
Bronchopleural fistula |
Pleural fibrosis |
Pleural thickening |
Information from [1, 93].