Chest

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63 year old male with sinusitis and chronic cough
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How do you classify the different types of lesions?
Bronchietasis
  • Irreversible dilatation of the bronchi
  • Congenital, post infectious, bronchial obstruction
  • HRCT describe a “string of pearls” or “cluster of grapes”
Classification
  • Cylindrical – minimally dilated with straight regular contour
  • Varicose – beaded appearance with sequential dilation and constriction
  • Cystic (Saccular) – bronchi have a ballooned appearance
Cystic Bronchiectasis
Cylindrical Bronchietasis Tram Track

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Cylindrical bronchietasis with Signet Ring sign. Pulmonary artery adjacent to dilated bronchus
Varicose bronchietasis

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