Tree in bud

Case contributed by Dr Jeremy Jones


Emphysema and shortness of breath. Exclude PE.

Patient Data

Age: 80 years
Gender: Female

Lingular collapse and widespread plugging of the teminal bronchi. Small peripheral right-sided pulmonary embolus.

Case Discussion

The CTPA demonstrates a small peripheral right-sided pulmonary embolus, but more significant is the widespread terminal bronchial plugging and bronchial wall thickening.  Lingular atelectasis may be a chronic finding.

Certainly, the cause of her symptoms is more likely to be the terminal bronchial plugging (with tree in bud appearance) rather than the tiny PE. 

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Case information

rID: 13445
Published: 12th Apr 2011
Last edited: 14th Dec 2019
System: Chest
Inclusion in quiz mode: Included

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