الفهرس | Only 14 pages are availabe for public view |
Abstract Bronchiectasis is pathological, irreversible dilatation of the bronchi due to destruction if the bronchial wall and the elastic connective tissue. This study included reviewing the MSCT chest results of 60 patients with bronchiectasis, 35 females and 25 males, age range 19- 75 years (average (54.2 years) who suffer from dyspnea and productive cough and referred to the radiology department in neurosurgery hospital at Mit Khalaf hospital complex. In this study, bronchiectasis was predominant in females (58.3%), more common in age group (60-69) years old (36.7%), unilateral lesions were more common (53.3%) than bilateral lesions, right sided lesions were more common than left sided lesions. The most common etiology was post inflammatory bronchiectasis (43.3%), followed by traction bronchiectasis (35%). The distribution of bronchiectasis in post inflammatory cases was mostly affecting the lower lobes 16 (61.4) of 26 patients. Regarding traction bronchiectasis, affection was mostly in the upper lobes including 10 (47.4) of 21 patients. In chronic obstructive pulmonary disease, distribution was mostly in lower lobes with 4 (50%) of 8 patients. In aspiration, distribution was in bilateral lower lobes. In cystic fibrosis, it affects the bilateral upper lobes and in Kartagner syndrome, the distribution was on bilateral lobes. The most common morphological type of bronchiectasis was the cylindrical type which was detected in (25%) of cases followed by the signet ring type with (23.3%) of the cases. With the aid of MSCT, it was easier to detect the presence of pulmonary bronchiectasis, its morphological type and its distribution. The etiology of bronchiectasis could be determined by its site, distribution, shape and the associated CT findings along with the clinical features. In the light of the role of MSCT in the diagnosis of the pulmonary bronchiectasis, we conclude that it is being central, accurate and non-invasive. |