Question
What are common chest X-ray findings in children with bronchopulmonary dysplasia (BPD)?
Answer
In children with bronchopulmonary dysplasia (BPD), chest X-rays frequently display a range of abnormalities reflecting the chronic nature of the lung disease. Typical findings include coarse, irregular, rope-like linear densities, which are indicative of underlying atelectasis or pulmonary fibrosis. Additionally, lucent cyst-like areas may be present, representing regions of air trapping within the lungs.
Another key feature is the shifting nature of atelectatic segments, which can be observed by comparing serial chest X-rays taken over time. This shifting atelectasis is a dynamic process influenced by changes in ventilation, airway obstruction, or infection. It is also not uncommon for these radiographic features to be complicated by superimposed pneumonia, further altering the appearance and contributing to clinical symptoms. Recognizing this constellation of findings is crucial for diagnosing and monitoring BPD progression and associated complications.
This Ask the Expert is an edited excerpt from the course, Bronchopulmonary dysplasia (BPD) Historical and Scientific Update, presented by Katlyn Burr, MSM-HCA, RRT, RRT-NPS, AE-C.
