Case of the Week #5

Can you work out what's going on here?

This week I’m keeping it simple. The only clinical background I’m giving you is that this girl is 18, and on the respiratory ward. You *should* be able to work out a diagnosis from everything you see on the CXR…

This girl has Cystic Fibrosis

She has a porta-cath in.
She has a hyper-expanded chest.
She has an NG tube in situ.
She has bilateral upper zone airspace opacification, bronchial wall thickening, and cystic changes.
She is very thin.

This combination of findings strongly suggests cystic fibrosis as an unifying diagnosis

Learn more about cystic fibrosis in East Block – the CF team are always happy to speak with you, there are in patients on the ward every week, and there’s a clinic every Thursday.

Do you want to do an SSC involving CF? We can certainly accommodate you!

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