PMC3265990_01
Posteroanterior and lateral chest radiographs demonstrating prominent lung markings and interstitial thickening, as well as volume loss, which is more evident in the left lower lobe and right upper lobe. Bronchiectases are more obvious in the lateral radiograph.
ijgm-5-041f1.jpg
PMC3265990_01_ijgm-5-041f1.jpg
f1-ijgm-5-041
The trachea and main bronchi were normal (Figure 1).
Sequential axial high-resolution computed tomography images of the upper, middle, and lower lung fields demonstrate multiple large and coalescent cystic bronchiectases, associated with volume loss. Some of the bronchiectases have air-fluid levels that are due to brochial secretions.
ijgm-5-041f2.jpg
PMC3265990_01_ijgm-5-041f2.jpg
f2-ijgm-5-041
CT also revealed a mosaic picture, which also emerges in all lobe findings consistent with bronchiolitis obliterans. Collapse of bronchi with distal air trapping, the result of an excessively compliant bronchial wall, particularly in the left and right lower lobe, was also present (Figure 2).