Faces of Trachea Infection Inflammation Malignancy Mechanical/Atelectasis Trauma Metabolic Circulatory- Hemorrhage Immune Infiltrative Amyloidosis Amyloidosis of the Proximal Airways44-year-old female with immunoglobulin light chain (AL) amyloidosis of the trachea. The axial CT shows thickening of the trachea on its anterior and lateral walls, sparing the posterior membraneAshley Davidoff MD TheCommonVein.net 135866 249Lu Idiopathic Iatrogenic Idiopathic Inherited Mounier Kuhn Axial CT – Mounier Kuhn Tracheomegaly and Bronchiectasis61 year old male with a history of treated mycobacterial infections and chronic coughAxial CT at the level of the brachiocephalic vessels shows an enlarged trachea that measures 3cms which is abnormally enlarged. There are thin-walled cystic changes of the airways along the subsegmental arteries in the upper lobes likely reflecting bronchiectasisAshley Davidoff MD TheCommonVein.net 250Lu 135874ac Coronal CT – Mounier Kuhn Syndrome, Tracheomegaly and Bronchiectasis61 year old male with a history of treated mycobacterial infections and chronic coughCoronal CT at the level of the trachea shows an enlarged trachea that measures 3cms which is abnormally enlarged. There are both thin-walled and mildly thickened cystic changes of the airways along the subsegmental bronchovascular bundle in the upper lobes and lower lobes reflecting bronchiectasisAshley Davidoff MD TheCommonVein.net 250Lu 135880 Sagittal CT – Mounier Kuhn Syndrome, Tracheomegaly and Bronchiectasis61 year old male with a history of treated mycobacterial infections and chronic coughSagittal CT at the level of the trachea shows an abnormally enlarged trachea. Mild thin walled bronchiectasis is also noted Flattened hemidiaphragm indicates hyperinflationAshley Davidoff MD TheCommonVein.net 250Lu 135884 Mechanical Barium Swallow Aspiration Barium Swallow AspirationBarium swallow in the LPO projection shows abnormal accumulation of contrast along the walls of the trachea (b, white arrowheads) secondary to aspiration. Contrast also lines the wall of the posteriorly positioned esophagus (b, light green arrowheads) with a small air fluid level in the primary stripping wave of the esophagus (b, lower light green arrowhead). The contrast lined superior aspect of the epiglottis (pink arrowhead) is seen among the vallecula and pyriform sinuses.Ashley Davidoff MD TheCommonVein.net 46505cL