The distinctly visible right upper lobe bronchus on the lateral chest: a clue to adolescent cystic fibrosis.

Abstract:

:Radiographic differentiation between cystic fibrosis and asthma presenting in teenagers and young adults can be difficult. Many patients with a late presentation of cystic fibrosis display minimal changes on a chest radiograph. However, a large majority (90%) of cystic fibrosis patients with an essentially normal PA chest radiograph will have a distinctly outlined orifice of right upper lobe bronchus on a lateral chest film as opposed to a small number of asthmatics (25%) or normal patients (18%). This observation correlates well with the pathologic finding that the initial pulmonary involvement in cystic fibrosis is typically in the right upper lobe in adolescents. Teenage or young adult patients presenting with a history of repeated respiratory infections, asthma-like symptoms and a distinctly visible right upper lobe bronchus on a lateral chest film should be sweat-tested to exclude cystic fibrosis.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Reinig JW,Sanchez FW,Thomason DM,Gobien RP

doi

10.1007/BF02388758

subject

Has Abstract

pub_date

1985-01-01 00:00:00

pages

222-4

issue

4

eissn

0301-0449

issn

1432-1998

journal_volume

15

pub_type

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