Tree-in-bud sign - normal CT virtual bronchoscopy

Case contributed by Dalia Ibrahim

Presentation

Cough & dyspnea

Patient Data

Age: 20-year-old
Gender: Female

Normal caliber of the trachea and bronchi with no evidence of stenosis.

Multiple centrilobular nodules and branching linear opacities of similar caliber originating from a single stalk (the tree-in-bud pattern) in the left lower lobe. 

Multiple enlarged mediastinal (prevascular, subcarinal) and left hilar lymph nodes.

Case Discussion

Normal CT virtual bronchoscopy.

The patient's symptoms are secondary to the left lower lobar "tree-in-budd densities"

Causes of tree-in-bud sign:

Tree-in-bud in  this case was secondary endobronchial spread of tuberculosis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.