Faces of Bronchial Obstruction

Infection Inflammation Malignancy Mechanical/Atelectasis Trauma Metabolic Circulatory- Hemorrhage Immune Infiltrative Idiopathic Iatrogenic Idiopathic

Allergic Bronchopulmonary Aspergillosis (ABPA)with Atelectasis

Allergic Bronchopulmonary Aspergillosus (ABPA) and Atelectasis
77 year old male prents chest discomfort
CT scan without contrast shows atelectasis of the right lower lobe )asterisk c and r) and also seen axial projection (a) magnified in (b) and in (c) magnified in {d) Red arrowheads in b and d show airways filled with material. Aspergillus was isolated at bronchoscopy. Coronal imaging (e magnified in f) show silhouetting of the righ hemidiaphragm by the atelectatic lung (white arrowheads
Ashley Davidoff TheCommonVein.net

Squamous Cell Carcinoma (SCC) Obstructing Right Main Stem Bronchus

CXR Right Upper Lobe Collapse Squamous Cell Carcinoma
55-year-old male presenting with dyspnea
Frontal CXR shows right upper lobe (RUL) atelectasis characterized by rightward deviation of the trachea elevation of the right hemidiaphragm and opacification of the right upper lobe. Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430
Lateral CXR Right Upper Lobe Collapse Squamous Cell Carcinoma
55-year-old male presenting with dyspnea
Lateral CXR confirms atelectasis of the RUL characterized by pie shaped consolidation of the anteriorly position right upper lobe, hyperinflation of the right lower lobe mild elevation of the right hemidiaphragm. Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430
CT – Right Upper Lobe Collapse Central Squamous Cell Carcinoma
55-year-old male presenting with dyspnea
Axial CT at the level of the carina shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus (b, white arrowhead) resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the anteriorly positioned right upper lobe. The major fissure is displaced anteriorly (a, pink arrowhead). There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL (b, yellow arrowheads). Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136432cL
CT – Right Upper Lobe Collapse Central Squamous Cell Carcinoma
55-year-old male presenting with dyspnea
Coronal CT at the level of the trachea and mainstem bronchi, shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus (b, white arrowhead) resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the right upper lobe with superiorly displaced major fissure (a, pink arrowhead). There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL (b, yellow arrowheads). Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136433cL
Endoscopy Central Obstructing Mass in the Right Upper Lobe Bronchus
Endoscopic image of a central squamous cell carcinoma (SCC) with extensive
Ashley Davidoff TheCommonVein.net 212Lu 136434
Calcified Metastases in the Lung from Leiomyosarcoma of the Uterus with Invasion of a Bronchus
CT scan through right lower lobe of the lung shows a calcified mass representing a metastasis from a primary uterine leiomyosarcoma with invasion of the anterior segmental bronchus (yellow arrowhead lower image).
Ashley Davidoff MD TheCommonVein.net 135682