Case Of the Week (COW) 01 Feb 2015
Answer:
ACHLASIA CARDIA WITH ASPIRATION BRONCHIOLITIS.
Findings:
Significant dilatation of entire esophagus is noted upto the level of esophago-gastric junction in the MPR and VR images No significant wall thickening noted in the esophago-gastric junction Centrilobular nodules with few regions showing tree-in-bud configuration are noted in both lower lobes (superior basal and postero-basal segments – R>L). Peri-bronchovascular thickening with mucous plugging is noted in both lower lobes postero segmental bronchioles.
Discussion:
Features consistent with ACHLASIA CARDIA WITH ASPIRATION BRONCHIOLITIS The onset of aspiration bronchiolitis can be more insidious than aspiration pneumonia, and in half of the patients, episodes of aspiration can be unrecognised . Patient's may present with chronic cough along with dysphagia as in our patient.
Answer:
ACHLASIA CARDIA WITH ASPIRATION BRONCHIOLITIS.
Findings:
Significant dilatation of entire esophagus is noted upto the level of esophago-gastric junction in the MPR and VR images No significant wall thickening noted in the esophago-gastric junction Centrilobular nodules with few regions showing tree-in-bud configuration are noted in both lower lobes (superior basal and postero-basal segments – R>L). Peri-bronchovascular thickening with mucous plugging is noted in both lower lobes postero segmental bronchioles.
Discussion:
Features consistent with ACHLASIA CARDIA WITH ASPIRATION BRONCHIOLITIS The onset of aspiration bronchiolitis can be more insidious than aspiration pneumonia, and in half of the patients, episodes of aspiration can be unrecognised . Patient's may present with chronic cough along with dysphagia as in our patient.