Bronchial atresia

Case contributed by Dr James Harvey

Presentation

Right upper quadrant abdominal pain and lower chest pain following assault.

Patient Data

Age: 25 years
Gender: Female
X-ray

Chest

The chest x-ray was reported normal.

In retrospect (after review of subsequently performed CT) - subtle oligemia within the left midzone.

CT

Chest

There is a well-demarcated/geographic lucency involving the superior portion of the left lower lobe. The affected lung is oligaemic. A thin-walled cystic focus is present centrally.

No traumatic findings were identified.

Case Discussion

Bronchial atresia is a congenital abnormality which is typically asymptomatic and most commonly diagnosed incidentally (as in this case).

Characteristic findings include:

The condition is benign and generally does not require treatment. Surgical resection is considered only in cases of recurrent infection failing medical management or where there is concern for malignancy 1.

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Case information

rID: 73677
Published: 18th Jun 2020
Last edited: 18th Feb 2021
System: Chest
Inclusion in quiz mode: Included

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