224Lu Cystic Fibrosis Bronchiectasis and Finger in Glove Sign

CXR shows a right upper lobe infiltrate suggesting tubular morphology

CYSTIC FIBROSIS AND BRONCHIECTASIS
19 year old female with cystic fibrosis and bronchiectasis   CXR shows a right upper lobe infiltrate suggesting tubular morphology
Courtesy Priscilla Slanetz MD MPH TheCommonVein.net
CYSTIC FIBROSIS AND BRONCHIECTASIS
19 year old female with cystic fibrosis and bronchiectasis  Lateral  CXR shows hyperinflation of the lungs with pectus carinatum (barrel shaped chest) and  an upper lobe infiltrate suggesting tubular morphology
Courtesy Priscilla Slanetz MD MPH TheCommonVein.net

CT showing Right Upper Lobe Bronchiectasis with Thickened and Mucin Filled Subsegmental Bronchi 

Cystic Fibrosis and Bronchiectasis
19 year old female with cystic fibrosis and bronchiectasis
CT scan through the upper lung fields shows multiple thickened and mucin filled subsegmental bronchi of the posterior segment of the right upper lobe
Courtesy Priscilla Slanetz MD MPH TheCommonVein.net

Finger in Glove Sign

Finger in Glove Sign
19 year old female with cystic fibrosis and bronchiectasis
CT scan through the upper lung fields shows mucin filled subsegmental bronchi of the right upper lobe with morphology reminiscent of the “finger in glove” sign
Courtesy Priscilla Slanetz MD MPH TheCommonVein.net

 

Discussion

The Finger in Glove Sign in this context could be due to Allergic Broncho-Pulmonary Aspergillosis, the appearance could also be due to bronchiectasis with mucin filled airways.  We do not have records relating to the evaluation of ABPA