Posterior wall of bronchus intermedius

The posterior wall of bronchus intermedius is a stripe formed by the interface of the posterior wall of bronchus intermedius and the air within the azygo-oesophageal recess 1.

It normally measures between 0.5-2mm in thickness but is not considered abnormally thickened until it measures greater than 3mm 1, 2. An increased thickness is non-specific but may represent 1:

  • pulmonary oedema (most common)
  • primary lung malignancy
  • lymphadenopathy (from a variety of causes)
    • lymphoma
    • metastases
    • tuberculosis
    • sarcoidosis

Radiological appearance

Plain radiograph
  • present on 90-95% of lateral chest x-rays 1 but is only well seen in ~55% of patients 2
  • appears as a vertical or nearly vertical stripe that projects over the lucency created by the left main bronchus and the azygo-oesophageal recess 1, 2
CT
  • posterior wall of bronchus intermedius is well seen in almost every patient 2
  • it appears as a sharp, well-defined line from the origin of the right upper lobe bronchus 2

Chest x-ray
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Article Information

rID: 23431
System: Chest
Section: Anatomy
Synonyms or Alternate Spellings:
  • Posterior wall of bronchus intermedius stripe

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