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Cystic bronchiectasis

Imaging findings

High-resolution CT shows dilated, thin-walled, branching 4th-to-6th order airways with a corrugated appearance of the central airways, sparing the central and extreme peripheral bronchi, in a 44-year-old man with recurrent respiratory infections, consistent with the working diagnosis of Williams-Campbell syndrome.

Key takeaways

Williams-Campbell syndrome is a structural airway disorder characterized by congenital cartilage deficiency in 4th-to-6th order bronchi, leading to bronchiectasis. It can present later in life and frequently manifests with dynamic airway collapse or tracheobronchomalacia.

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