FINAL DIAGNOSE CASE-10


🩻 Final Diagnose Case - 10 (FB and Insta post)

Clinical Presentation:

  • Age/Sex: 45-year-old female
  • Symptoms:
    • Chronic cough with sputum production
    • Breathlessness
    • Chest pain
    • Mild intermittent fever

Imaging Modality:

High-Resolution CT (HRCT) Chest

 Radiological Findings:(Analysis)

🫁 Image 1:


  • Multiple bronchial wall thickening and dilated bronchi predominantly in the lower lobes → Bronchiectasis (suggestive of chronic bronchitis)
  • Associated interstitial fibrotic changes → Pulmonary fibrosis

🫁 Image 2:


  • Multiple bullae and air-filled spaces with wall destruction → Emphysematous changes
  • These are more consistent with centrilobular emphysema, often linked with smoking

🫁 Image 3:


  • Well-defined air-filled rounded lucencies with thin walls in both lungs → Pulmonary cysts
  • Co-existing with background fibrosis and bronchiectasis

Probable Final Diagnosis:

🩺 Post-infectious Chronic Obstructive Pulmonary Disease (COPD) with Bronchiectasis and Pulmonary Fibrosis

  • The combination of emphysema, bronchiectasis, fibrosis, and cyst formation is highly suggestive of a severe form of post-infective or smoking-related chronic airway disease, possibly:
    • COPD with secondary bronchiectasis
    • Or, Post-tubercular sequelae if history suggests past TB
    • Consider Chronic hypersensitivity pneumonitis (CHP) if there's exposure history

Radiological Impression:

Extensive bilateral lung parenchymal destruction with features of:

  • Cystic bronchiectasis
  • Pulmonary fibrosis
  • Centrilobular emphysema
  • Multiple pulmonary cysts

                                     ****** 


NOTE- Correlation with clinical history, smoking status, sputum AFB, and spirometry is essential...

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