Faces of the Bronchovascular Bundle

Parts
Size
Shape
Position
Character
Time

Infection
CT Miliary Tuberculosis Nodules along the
Bronchovascular Bundle (c, marron arrow),

CT Miliary Tuberculosis Nodules along the  Bronchovascular Bundle,  Centrilobular, Fissural and Pleural Distribution
60-year-old immunocompromised female presents with a cough and weight loss. Axial CT shows miliary nodules throughout both lung fields. Some of these nodules are centrilobular or distributed along the bronchovascular bundles (c, maroon arrowheads) and others are fissural based (b, pink arrowheads) and along the pleura (yellow arrowheads suggesting at least a lymphatic distribution. There is bronchial wall thickening (b teal arrowhead). She responded well to treatment and final diagnosis was mycobacterium tuberculosis.
Ashley Davidoff MD TheCommonVein.net 265Lu 136202cL

Inflammation

ABPA CXR Finger in Glove Morphology in the Right Lower Lobe

CXR Finger in Glove Morphology in the Right Lower Lobe
60 year old male with history of asthma, allergic bronchopulmonary aspergillosis (ABPA)
CXR suggests hyperinflation, with tubular ectasia and soft tissue prominence of the bronchovascular bundle in the right lobe (magnified in lower image)
Ashley Davidoff TheCommonVein.net


CT Desquamative Interstitial Pneumonia (DIP)
Bronchiolectasis Alongside the Arteriole

CT Desquamative Interstitial Pneumonia (DIP) Patchy Ground Glass Changes,  Bronchiolectasis Mosaicism and the Secondary Lobule
51-year-old female smoker with a history of COPD asthma and pulmonary hypertension presents with progressive dyspnea. Axial CT through the right posterior recess shows patchy ground glass changes with some regions of mosaicism. The bronchovascular bundle subtending 2 secondary lobules is highlighted in the lower panel. The centrilobular arteriole and ectatic bronchiole are magnified
Pathology confirmed a diagnosis of DIP
Ashley Davidoff MD TheCommonVein.net 252Lu 135981c

 

Malignancy

Mechanical

Atelectasis

Trauma

Metabolic

Circulatory-
Possible Infarction

Subsegmental Wedge Shaped Infiltrate Along the Bronchovascular Bundle Raising the Possibility of a Vasculitis
Ashley Davidoff MD TheCommonVein.net

 

Hemorrhage

Immune Infiltrative Idiopathic Iatrogenic