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Images in Thorax
Reversible bronchiectasis
  1. Chuan Tai Foo1,
  2. Sumit Karia2,
  3. Jurgen Herre1
  1. 1 Department of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  2. 2 Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Dr Chuan Tai Foo, Department of Respiratory Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UK; chuantai.foo{at}gmail.com

https://doi.org/10.1136/thoraxjnl-2021-217548

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    A 60-year-old man with a history of benign prostate hyperplasia was referred to our clinic for evaluation of persistent left lower lobe chest X-ray (CXR) changes and symptoms suggestive of recurrent chest infection that did not improve with antibiotic therapy. On history, the patient vividly recalled an episode of violent coughing 3 months ago while eating peanuts. Thereafter, he reported daily cough with clear productive sputum and breathlessness on heavy exertion. The patient is a lifelong non-smoker and reported no other infective or cardiac symptoms, or relevant environmental exposures. On examination, the patient was not dyspnoeic. Temperature was 37.2°C, respiratory rate 12 breaths/min and room air oxygen saturation 97%. Chest auscultation revealed left basal coarse crackles which did not clear on coughing. The remainder of the clinical examination was normal.

    Full blood count, C reactive protein, urea and electrolytes, and liver …

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    Footnotes

    • Contributors CTF and JH were involved in the conceptualisation, data curation, writing, editing and reviewing of the manuscript. SK has contributed to the data curation, analysis, writing, editing and reviewing of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.