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Patterns of bronchiectasis of the affected airways

Patterns of bronchiectasis of the affected airways
The gross features of bronchiectasis are often classified according to the classic Reid classification, based on their appearance on imaging[1]:
  • Cylindrical – Smooth tubular dilation of the bronchi
  • Varicose (or fusiform) – Bronchi are dilated with multiple indentations (narrowed segments)
  • Cystic (or saccular) – Dilated bronchi terminate in blind-ending sacs

Bronchiectatic disease tends to progress from cylindrical, to varicose, to cystic forms if the disease process is not interrupted. Cylindrical bronchiectasis may be reversible if the underlying cause is successfully treated, while later stages of bronchiectasis are generally irreversible but can still improve with optimal treatment.

Reference:
  1. Reid LM. Reduction in bronchial subdivision in bronchiectasis. Thorax 1950; 5:233.
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