|Patient: 3 year old male|
|History: Cough and wheeze. Tachopnoea. Fever. Generalised wheeze on examination.|
|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.|
No comments posted.
Case Number: 11548548Last Updated: 11-10-2007 The reader is fully responsible for confirming the accuracy of this content.
The reader is fully responsible for confirming the accuracy of this content.