RT Journal Article
SR Electronic
T1 Chronic sputum production: correlations between clinical features and findings on high resolution computed tomographic scanning of the chest.
JF Thorax
JO Thorax
FD BMJ Publishing Group Ltd and British Thoracic Society
SP 914
OP 918
DO 10.1136/thx.51.9.914
VO 51
IS 9
A1 I. E. Smith
A1 E. Jurriaans
A1 S. Diederich
A1 N. Ali
A1 J. M. Shneerson
A1 C. D. Flower
YR 1996
UL http://thorax.bmj.com/content/51/9/914.abstract
AB BACKGROUND: There are few published data on the correlation between the clinical findings in subjects with chronic sputum production and the appearances on high resolution computed tomographic (HRCT) scans of the chest. METHODS: HRCT scanning of the chest was performed on 40 subjects with chronic sputum production. Three readers independently reported the scans for the presence or absence of bronchiectasis and the extent of bronchiectasis on the basis of the percentage of involved bronchi in each lobe. Relationships were sought between these findings and the clinical history, physical examination, and laboratory investigations. RESULTS: HRCT scanning showed that 27 subjects had bronchiectasis. Of the clinical features only the continual production of purulent sputum and childhood pertussis were associated with bronchiectasis. There was a positive correlation between the extent of bronchiectasis and dyspnoea, and a negative correlation with forced expiratory volume in one second but not with forced vital capacity. CONCLUSIONS: These results indicate that, in subjects with chronic sputum production, only a few clinical features show any correlation with the presence or extent of bronchiectasis as visualised on HRCT scans.