The importance of imaging modalities to label a child with bronchiectasis cannot be underemphasized. The European Respiratory Society guidelines suggest the use of high-resolution multidetector chest computed tomography (MDCT) not only for the diagnosis of bronchiectasis in children and adolescents but also to highlight the importance of early detection of radiological changes to improve the quality of life in such children [
1]. However, pulmonary exacerbations are common in bronchiectasis. They might warrant repeat imaging procedures to look for acute or gradual deterioration of underlying lung anatomy and assess for new onset treatable complications, which may justify changes in treatment strategies. Moreover, the patient is at risk of repeated exposure to ionizing radiation, which can be deleterious. To tackle this major issue, magnetic resonance imaging (MRI) of the lung could be a safer tool. …