Tree in bud

Case contributed by Dr Jeremy Jones

Presentation

79 year old lady with emphysema and shortness of breath. Exclude PE.

Patient Data

Age: 80
Gender: Female
Modality: CT

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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
Case created: 12th Apr 2011
Last edited: 16th Oct 2015
System: Chest
Inclusion in quiz mode: Included

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