Case 25 A 17-year-old girl with frequent respiratory infections. (A) Axial post-contrast computed tomography (CT) image of the abdomen demonstrates fatty replacement of the pancreas (arrow). (B) Frontal chest radiograph demonstrates bronchiectasis with hyperinflation of the lungs. A chest port is present. (C) Lung window CT image confirms the bronchiectasis (arrows). • Cystic fibrosis (CF): The combination of fatty replacement of the pancreas and bronchiectasis makes the diagnosis. • Schwachman-Diamond syndrome:
Clinical Presentation
Further Work-up
Imaging Findings
Differential Diagnosis
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