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Dr Romi Singla - Department Of Pulmonary Medicine GMC, Patiala

Dr Romi Singla - Department Of Pulmonary Medicine GMC, Patiala

Dr Romi Singla - Department Of Pulmonary Medicine GMC, Patiala

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� APICAL FIBROBULLOUS DISEASE<br />

� CXR – Fibrocystic Disease, honeycombing<br />

� HRCT—This demonstrates abnormalities in 69%–<br />

71%, including interlobular septal thickening,<br />

basal interstitial lung disease, bronchiectasis<br />

(primary and traction), emphysema, upper lobe<br />

fibrosis, pleural thickening, mycetoma formation,<br />

and mediastinal lymphadenopathy.<br />

� Tracheobronchomegaly (Mounier-Kuhn syndrome)<br />

has been reported<br />

� Most serious complication – infection with<br />

invasive aspergilla spp., atypical mycobacteria,<br />

saprophytic colonization of the cysts by aspergilla<br />

(Aspergilloma), life threatening hemoptysis.

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