MyPACS.net: Radiology Teaching Files > Case 11548548

previously visited PERIHILAR PERIBRONCHIAL THICKENING AND PULMONARY INFILTRATES IN 3 Y/O CXR
Contributed by: alex maclennan, Radiologist, Royal Alexandra Hospital, Paisley, United Kingdom.
Patient: 3 year old male
History: Cough and wheeze. Tachopnoea. Fever. Generalised wheeze on examination.
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Fig. 1
Findings: 1. Normal heart and mediastinum 2. Overinflation 3. Bilateral perihilar peribronchial thickening 4. Patchy lower and left mid zone linear infiltrates
Diagnosis: Likely lower respiratory tract infection
Discussion: Perihilar peribronchial thickening is a 'soft' diagnosis as it relies on subjective assessment of the hila and perihilar bronchovascular markings. The most useful tool is to look for the one or two bronchi seen end on. A normal bronchus is pencil thin. In perihilar peribronchial thickening, the bronchus has a definitely concentrically thickened wall. Generally there will also be 'tooo many lines' radiating from hila and hila may look enlarged and/ or ill defined.
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Case Number: 11548548Last Updated: 11-10-2007
Anatomy: Chest   Pathology: Infection
Modality: Conventional RadiographAccess Level: Readable by all users

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