Bronchiectasis may be present even if the X-ray is normal – most patients suspected of having bronchiectasis will need a high resolution CT to confirm the diagnosis
Severe bronchiectasis causes coarsening of the lung markings – very extensive in this case
Patients with cystic fibrosis typically develop bronchiectasis
Chest X-rays are not required to make the diagnosis, but are helpful to monitor progression of the disease and to look for complications such as pneumonia
The ‘portacath’ device is used for long-term delivery of intravenous drugs