Bronchocele

Case contributed by Dr Jeremy Jones

Presentation

Increased shortness of breath.

Patient Data

Age: 55 years
Gender: Male
X-ray

Subtle increased opacification in the right mid-zone.  Branching pattern.

CT

Right upper lobe bronchocele with filling of the peripheral bronchi with mucous in a branching pattern.  

Case Discussion

Bronchoceles represent impaced mucoid secretions within the bronchial tree. The cause can be divided by whether they result from obstruction or not.  Obstructive causes include tumor, stricture or foreign body. Non-obstructive causes include asthma, cystic fibrosis and ABPA.

Asthmatics are pre-disposed to aspergillus infection and therefore, ABPA infection in an asthmatic is a classific cause for a branching bronchocele.  Where asthma is the cause, a peripheral bronchocele is more common.

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Case information

rID: 17097
Published: 16th Mar 2012
Last edited: 26th Sep 2019
System: Chest
Inclusion in quiz mode: Included

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