Fluid bronchogram

Dr Zishan Sheikh et al.

The fluid bronchogram sign can be seen on chest CT or ultrasound as the presence of fluid attenuation material within respiratory bronchioles with surrounding collapsed or consolidated lung.

The presence of this sign suggests endobronchial obstruction as a precipitating cause for consolidation/collapse 1. This can result from a number of processes:

Radiographic appearances

Importantly, this sign is not visible on plain radiographs since collapse lung and boronchial fluid is indistinguishable in density.

Ultrasound

Anechoic tubular structures representing fluid clogged bronchi are seen within relatively echogenic collapsed lung. The absence of doppler flow confirms that these are not vessels, and infact airways.

CT

Contrast enhanced CT is required to differentiated tubular low attenuation representing fluid bronchograms from vessels. CT has the added benefit of localising the possible cause or level of endobronchial obstruction.

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Article information

rID: 49983
System: Chest
Section: Signs
Synonyms or Alternate Spellings:
  • Fluid bronchograms

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Cases and figures

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    Case 1: Complete bronchial obstruction with low attenuation fluid seen in obstructed bronchioles.
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