PMC4896121_01
Bronchiectasis in a 29 year-old woman with chronic graft versus host disease following bone marrow transplantation. Chest x-ray shows hyperinflation and peribronchial thickening. Large bilateral pneumatoceles (arrows) are also present.
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The chest radiograph on admission showed hyperinflation, peribronchial thickening and bilateral pneumatoceles (Figure 1a).
CT scan at the level of the right middle lobe bronchus shows atelectasis of the right middle lobe with bronchiectasis (black arrow). A large pneumatocele (white arrow) is present in the right lower lobe. A left-sided chest tube and subcutaneous air in the left chest wall are also visible.
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Even 15 months after BMT, the lung parenchyma was normal on CT (Figure 2a). Mild bronchiectasis without any cystic disease was demonstrated in the lower lobes 19 months after BMT (Figure 2b). A CT scan obtained about two and a half years after BMT showed worsening of the bronchiectasis (Figure 2c).