The Common Vein

This is a case of a 68 year patient with both severe bronchiectasis in the upper lobes and mid lung regions and evidence of centrilobular emphysema and the the question raised is if the emphysema and bronchitis led to the bronchiectasis?

There are also feautures of prior TB with calcifications in the right upper lobe

•  different radiological COPD phenotypes based on the
  • presence and severity of emphysema,
  • bronchial wall thickening, and
  • bronchiectasis.
• Bronchiectasis caused by
  • chronic airway inflammation and/or infection.
  • prevalence in h COPD is high,
  • especially advanced stages. T
  • it is
    • a different clinical COPD phenotype
    • more frequent chronic bronchial infection
    • more severe
    • and more exacerbations,
    • poor prognosis. A

Diffuse Disease with Bronchiectasis noted in the Upper Lobes

Diffuse Disease,  Upper Lobe  and Mid Lung Predominance, Centrilobular Nodules Mosaic Attenuation and Suggestion of Centrilobular Emphysema