School ager being evaluated for lung transplantation

CXR and CT of cystic fibrosis
CXR AP and lateral (above) show bilaterally hyperexpanded lungs with a coarse interstitial pattern, bronchial wall thickening and bronchiectasis. Axial CT without contrast of the chest show thickened interlobular septa and bronchiectasis in the bilateral upper (below left) and lower (below right) lobes.

The diagnosis was cystic fibrosis.