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Diagnostic Imaging Pathways - Recurrent or Persistent Pneumonia

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Cystic Fibrosis with Bronchiectasis

Image 1a and 1b (Computed Tomography): Mild bilateral bronchiectasis predominantly involving the lower lobes. There are multiples areas of "tree-in-bud" bronchiolitis. No areas of ground glass opacification are identified.

 
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Cystic Fibrosis with Bronchiectasis

Image 2a: Pneumonectomy showing grossly dilated bronchi with mucous plugging (blue arrows) and distal consolidation.

 
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Image 2b (H&E, x2.5): Section of a dilated bronchi with florid acute on chronic inflammation of the bronchial wall and surrounding interstitial

 

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