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I Recently Had A One Year Follow Up CT To See The Progression Of My Bronchiectasis Still BX Is Found Should This Be A Concern?

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Posted on Fri, 23 Dec 2022
Question: I recently had a one year follow up CT to see the progression of my bronchiectasis. The CT from August of last year indicated mild bilateral bronchiectasis. The CT from a few weeks ago initially did not show any BX. I spoke to the radiologist who read this year's CT and he said he did not see any BX. But now I see an addendum he just added, "Please note that the slight bronchiectasis lower lobes noted on the prior chest CT is not evident on the current study some likely due to the fact current study is performed with shallow inspiration, normalizing the size of the small peripheral bronchi relative to the associated vessels. " When I spoke to him just after the CT, I understood it that I did not have BX and that what he saw on last year's CT (read initially by a different doctor) he would have not called bronchiectasis. So now he is saying that it was BX, and he couldn't see it because I took a shallow breath? So basically is he now saying that I do have bronchiectasis, he just couldn't see it on the scan?
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Answered by Dr. Drkaushal85 (2 hours later)
Brief Answer:
Yes, you are having bronchiectesis which he couldn't see.

Detailed Answer:
Hi,
Yes, your assumption is right.
You are having mild bronchiectesis which he couldn't see.
And cause for this miss is shallow breathing while scan.
It is technical error.
It is advisable to take scan after deep inhalation and breath holding.
This will remove all technical errors.
Hope I have solved your query. I will be happy to help you further. Wish you good health.
Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Drkaushal85

Pulmonologist

Practicing since :2008

Answered : 15005 Questions

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I Recently Had A One Year Follow Up CT To See The Progression Of My Bronchiectasis Still BX Is Found Should This Be A Concern?

Brief Answer: Yes, you are having bronchiectesis which he couldn't see. Detailed Answer: Hi, Yes, your assumption is right. You are having mild bronchiectesis which he couldn't see. And cause for this miss is shallow breathing while scan. It is technical error. It is advisable to take scan after deep inhalation and breath holding. This will remove all technical errors. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.