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An X-ray of a child with RSV showing the typical bilateral perihilar fullness of bronchiolitis. The arrows are pointing to the portion of the X-ray that is abnormal and shows fluffy perihilar fullness. Testing for the specific viral cause can be done but has little effect on management and thus is not routinely recommended. [16]
Infiltration commonly begins in the perihilar region (where the bronchus begins) and spreads in a wedge- or fan-shaped fashion toward the periphery of the lung field. The process most often involves the lower lobe but may affect any lobe or combination of lobes.
Peribronchial cuffing, also referred to as peribronchial thickening or bronchial wall thickening, is a radiologic sign which occurs when excess fluid or mucus buildup in the small airway passages of the lung causes localized patches of atelectasis (lung collapse). [1]
The root of the right lung lies behind the superior vena cava and part of the right atrium, and below the azygos vein.That of the left lung passes beneath the aortic arch and in front of the descending aorta; the phrenic nerve, pericardiacophrenic artery and vein, and the anterior pulmonary plexus, lie in front of each, and the vagus nerve and posterior pulmonary plexus lie behind.
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Chest X-ray findings in children with RSV bronchiolitis are generally nonspecific and include perihilar markings, patchy hyperinflation, and atelectasis. [20] However, the American Academy of Pediatrics (AAP) does not recommend routine imaging for children with presumed RSV bronchiolitis because it does not change clinical outcomes and is ...
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Bat wing appearance is a radiologic sign referring to bilateral perihilar lung shadowing seen in frontal chest X-ray and in chest CT. [1] [2] The most common reason for bat wing appearance is the accumulation of oedema fluid in the lungs. [3] The batwing sign is symmetrical, usually showing ground glass appearance and spares the lung cortices. [4]