대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 8 Date 1997-12-22

  • Courtesy of Jae-Woo Song, M.D, Jung-Gi Im, M.D. / Boramae Hospital, Seoul National University Hospital
  • Age/Sex 25 / F
  • Chief Complaintblood tinged sputum and mild fever for two weeks
  • Figure 1
  • Figure 2
  • Figure 3

Diagnosis With Brief Discussion

Diagnosis
Broncholithiasis
Radiologic Findings
Brief Review
Broncholithiasis traditionally is defined as a condition in which calcified material is present within the bronchus or in an adjacent communicating cavity. More recently, the definition has been expanded to include those cases in which peribronchial calcific nodal disease distorts the tracheobronchial tree without erosion of the calcific lymph node into the bronchus. Most broncholiths arise from peribronchial lymph nodes that calcify after an inflammatory process. They may erode into an adjacent bronchus, and the associated inflammatory process may distort the bronchus.
The CT findings are: 1) a calcified lymph node that is either endobronchial or peribronchial, 2) the presence of changes due to bronchial obstruction; atelectasis, infiltrates, bronchiectasis, or air trapping, and 3) the absence of an associated soft-tissue mass.
Bronchoscopy is a relatively insensitive technique for the detection of broncholiths. The failure of bronchoscopy to identify some broncholiths is due to the node being peribronchial or to bronchial distortion obscuring an endobronchial node. An important role of bronchoscopy is to exclude an endobronchial neoplasm, which in rare cases may be calcified and simulate a broncholith.
References
Keywords
Airway, Lung, Inhalation and aspiration disease, Aspiration,

No. of Applicants : 0

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