ODOQuiz - One Day One Question

Quiz.no 43 -11 October 2025

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1. What is the diagnosis?

Left sided pneumothorax in a child with cystic fibrosis

2. What are the xray findings seen in advanced stages of the primary disorder?

Common X-ray Findings in Advanced Cystic fibrosis
- Hyperinflation: Flattened diaphragms and increased lung volumes due to air trapping.
- Bronchiectasis: Thickened bronchial walls and dilated airways, often visible as “tram-track” or “ring” shadows.
- Mucus plugging: Appears as branching opacities or “finger-in-glove” patterns due to impacted mucus in dilated bronchi.
- Atelectasis: Segmental or lobar collapse, especially in the upper lobes.
- Consolidation: Patchy or localized opacities from recurrent infections.
- Emphysematous changes: Areas of decreased vascular markings and increased lucency due to destruction of alveolar walls.
- Pulmonary arterial hypertension: Enlarged central pulmonary arteries may be seen in late stages.
- Thoracic cage changes: Barrel chest appearance and increased anterior-posterior diameter.