220Lu Asthma Bronchitis Bronchiectasis Allergic Bronchopulmonary Aspergillosis (ABPA)

  •  54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA
    • asthma
    • bronchitis
    • bronchiectasis
    • ABPA
  • bronchiectasis

Finger in glove in RLL noted  9 years prior

CXR Hyperinflation, Bronchiectasis and
Volume Loss of the Right lung

CXR Bronchiectasis and Volume Loss of the Right Lung
– Hyperinflation,
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA
CXR shows hyperinflation, with flattening of the hemidiaphragm bronchiectasis and volume loss of the right lung with rightward deviation of the trachea and downward displacement of the major fissure)
Ashley Davidoff TheCommonVein.net 220Lu 31258b
CXR Hyperinflation, bronchiectasis and volume loss of the right lung
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA
CXR shows hyperinflation, with flattening of the hemidiaphragm (pink arrowhead c) bronchiectasis (oval white ring b.and d)  and volume loss of the right lung with rightward deviation of the trachea (white arrowhead (a) and downward displacement of the major fissure (blue arrowhead, a)
Ashley Davidoff TheCommonVein.net 220Lu 31258aL

Finger in Glove in RLL noted  9 years prior

Finger in Glove in RLL noted  9 years prior
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA
CT scan  shows extensive segmental, subsegmental and small airway disease in the right lower lobe.  The ectatic right lower lobe segmental  bronchi, and to lesser extent in the left lower lobe.   are fluid filled manifesting as “finger in glove”  appearance.  There are innumerable groundglass micronodules in the right lower lobe and middle lobe,  reflecting small airway disease.
Ashley Davidoff TheCommonVein.net 220Lu 31258

Lower Lobe Bronchiectasis and ABPA over 9 years

Lower Lobe Bronchiectasis and ABPA over 9 years
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA
CT scan  shows initial CT (a) of the lower lobes and part of the middle lobe performed 9 years prior with  extensive segmental, fluid/soft tissue filled  bronchiectasis within the right lower and to lesser extent the left lower lobe reminiscent of finger in glove morphology.  Subsequent imaging 2 (b),5 (c) and 9 years(d),  reveals ongoing bronchiectasis  (teal arrowhead) subsegmental airway thickening (red arrowhead) and ground glass micronodules indicating small airway disease.   The middle lobe was also involved- not shown here.
Ashley Davidoff TheCommonVein.net
220Lu 31257

ABPA Bronchiectasis Bronchitis Bronchiolectasis and Small Airway Disease Right Lower Lobe and Middle Lobe 7 Years ago 

ABPA and Small Airway Disease Right Lower Lobe 
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA 
Current CT scan  shows extensive  small airway disease in the right lower lobe, magnified in lower image with centrilobular nodules and thickened interlobular septa characterized by  ground glass micronodules.
Ashley Davidoff TheCommonVein.net 220Lu 31246c

Current CT –
ABPA Bronchiectasis Bronchitis Bronchiolectasis and Small Airway Disease Right Lower Lobe and Middle Lobe

Current CT – ABPA Bronchiectasis Bronchitis Bronchiolectasis and Small Airway Disease Right Lower Lobe and Middle Lobe
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA 
Current CT scan  shows proximal impaction of bronchectatic lower lobe bronchi (orange arrowheads a, and magnified in b) with bronchiectasis in the middle lobe (teal arrowhead in b) and in the right lower lobes (teal arrowheads in c and d ) with suggestion of small airway disease characterized by  ground glass micronodules indicating small airway disease (red arrowheads b and d).   
Ashley Davidoff TheCommonVein.net 220Lu 31258b03c
ABPA Bronchiectasis Bronchitis Bronchiolectasis and Small Airway Disease Right Lower Lobe and Middle Lobe
Current CT – ABPA Bronchiectasis Bronchitis Bronchiolectasis and Small Airway Disease Right Lower Lobe and Middle Lobe
54 year old female with history of asthma, bronchitis, bronchiectasis, ABPA 
Current CT scan  shows suggestion of small airway disease (yellow circle)  characterized by  ground glass micronodules and bronchial wall thickening in segmental and subsegmental airways (red arrowheads)
Ashley Davidoff TheCommonVein.net 220Lu 31250