Radiographic features of bronchiectasis in a child with chronic cough

Chest radiograph of a child showing ring shadows (dashed arrows) and tram-tracking (double arrow) evident within both lower zones; these are radiographic features of bronchiectasis. There is opacification in the right lower zone, obscuring the right cardiac margin and medial aspect of the right hemidiaphragm, consistent with consolidation (thick arrow) in the medial right lower lobe and medial aspect of the right middle lobe. The radiograph also shows hyperinflation and ill-defined consolidation present within the retrocardiac left lower zone. Note that chest radiographs have very poor sensitivity for diagnosing bronchiectasis.