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The Trachea and Bronchi

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Chest CT for Non-Radiologists

Abstract

Evaluation of the trachea and bronchi should be performed on lung window settings. This chapter looks at the normal anatomy of the trachea and bronchi and common anatomical variants. Next we review diseases of the trachea which can be focal such as cancer or diffuse, involving a large segment of the trachea such as amyloidosis. Bronchiectasis is irreversible dilation of the bronchi which become larger than their accompanying artery. Bronchiectasis can be focal or diffuse. Focal bronchiectasis occurs with bronchial atresia. Diffuse bronchiectasis can be central or peripheral. Central bronchiectasis is seen with allergic bronchopulmonary aspergillosis (ABPA). Distal bronchiectasis occurs in patients with infection. The distribution of the bronchiectasis helps to narrow the differential diagnosis.

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References

  1. Minnich DJ, Mathisen DJ. Anatomy of the trachea, carina, and bronchi. ThoracSurgClin. 2007;17(4):571–85.

    Google Scholar 

  2. Doolittle AM, Mair EA. Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg. 2002;126(3):240–3.

    Article  PubMed  Google Scholar 

  3. Berrocal T, Madrid C, Novo S, Gutiérrez J, Arjonilla A, Gómez-León N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics. 2004;24(1):e17.

    Article  PubMed  Google Scholar 

  4. McGuinness G, Naidich DP, Garay SM, Davis AL, Boyd AD, Mizrachi HH. Accessory cardiac bronchus: CT features and clinical significance. Radiology. 1993;189(2):563.

    Article  CAS  PubMed  Google Scholar 

  5. Ghosh S, Yarmish G, Godelman A, et al. Anomalies of visceroatrial situs. AJR Am J Roentgenol. 2009;193(4):1107–17.

    Article  PubMed  Google Scholar 

  6. Ivemark BI. Implications of agenesis of the spleen on the pathogenesis of conotruncus anomalies in childhood; an analysis of the heart malformations in the splenic agenesis syndrome, with fourteen new cases. ActaPaediatr. 1955;44(Suppl 104):7–110.

    CAS  Google Scholar 

  7. Winer-Muram HT, Tonkin ILD, Gold RE. Polysplenia syndrome in the asymptomatic adult: computed tomography evaluation. J Thorac Imaging. 1991;6:69–71.

    Article  CAS  PubMed  Google Scholar 

  8. Laroia AT, Thompson BH, Laroia ST, van Beek EJ. Modern imaging of the trachea-bronchial tree. World J Radiol. 2010;2(7):237–48.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Carden KA, Boiselle PM, Waltz DA, Ernst A. Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review. Chest. 2005;127:984–1005.

    Article  PubMed  Google Scholar 

  10. Ridge CA, O’Donnell CR, Lee EY, Majid A, Boiselle PM. Tracheobronchomalacia: current concepts and controversies. J Thorac Imaging. 2011;26(4):278–89.

    Article  PubMed  Google Scholar 

  11. Daum TE, Specks U, Colby TV, Edell ES, Brutinel MW, Prakash UB, DeRemee RA. Tracheobronchial involvement in Wegener’s granulomatosis. Am J Respir Crit Care Med. 1995;151(2 Pt 1):522–6.

    Article  CAS  PubMed  Google Scholar 

  12. Soares MT, Sousa C, Garanito L, Freire F. Extensive upper respiratory tract sarcoidosis. BMJ Case Rep. 2016. https://doi.org/10.1136/bcr-2015-213325.

  13. O’Regan A, Fenlon HM, Beamis JF Jr, Steele MP, Skinner M, Berk JL. Tracheobronchial amyloidosis. The Boston University experience from 1984 to 1999. Medicine (Baltimore). 2000;79(2):69–79.

    Article  Google Scholar 

  14. Lu DG, Ji XQ, Zhao Q, Zhang CQ, Li ZF. Tracheobronchial nodules and pulmonary infiltrates in a patient with Crohn’s disease. World J Gastroenterol. 2012;18(39):5653–7.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Schina M, Karsaliakos P, Apostolou T, Mousoulis G. Relapsing polychondritis as a secondary phenomenon of primary systemic vasculitis. ClinNephrol. 2008;70(5):446–9.

    CAS  Google Scholar 

  16. Wang N, Long F, Jiang S. Tracheobronchopathia osteochondroplastica: two cases reports and review of literature. Medicine. 2016;95(19):e3396.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Urdaneta AI, Yu JB, Wilson LD. Population based cancer registry analysis of primary tracheal carcinoma. Am J Clin Oncol. 2011;34:32–7.

    Article  PubMed  Google Scholar 

  18. Heidinger BH, Occhipinti M, Eisenberg RL, Bankier AA. Imaging of large airways disorders. AJR Am J Roentgenol. 2015;205(1):41–56.

    Article  PubMed  Google Scholar 

  19. Maselli DJ, Amalakuhan B, Keyt H, Diaz AA. Suspecting non-cystic fibrosis bronchiectasis: what the busy primary care clinician needs to know. Int J ClinPract. 2017;71(2). https://doi.org/10.1111/ijcp.12924.

    Article  PubMed Central  Google Scholar 

  20. Reid LM. Reduction in bronchial subdivision in bronchiectasis. Thorax. 1950;5(3):233–47.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ashour M. Hemodynamic alterations in bronchiectasis: a base for a new subclassification of the disease. J Thorac Cardiovasc Surg. 1996;112:328–34.

    Article  CAS  PubMed  Google Scholar 

  22. Traibi A, Seguin-Givelet A, Grigoroiu M, Brian E, Gossot D. Congenital bronchial atresia in adults: thoracoscopic resection. J Visc Surg. 2017;30(3):174.

    Article  Google Scholar 

  23. Dakkak M, Siddiqi F, Cury JD. Broncholithiasis presenting as bronchiectasis and recurrent pneumonias. BMJ Case Rep. 2015;23:2015.

    Google Scholar 

  24. Meisinger QC, Klein JS, Butnor KJ, Gentchos G, Leavitt BJ. CT features of peripheral pulmonary carcinoid tumors. AJR Am J Roentgenol. 2011;197(5):1073–80.

    Article  PubMed  Google Scholar 

  25. Agarwal R. Allergic bronchopulmonary aspergillosis: lessons for the busy radiologist. World J Radiol. 2011;3(7):178–81.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Noriega Aldave AP, William Saliski D. The clinical manifestations, diagnosis, and management of Williams-Campbell Syndrome. N Am J Med Sci. 2014;6(9):429–32.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Abehsera M, Valeyre D, Grenier P, Jaillet H, Battesti JP, Brauner MW. Sarcoidosis with pulmonary fibrosis: CT patterns and correlation with pulmonary function. AJR Am J Roentgenol. 2000;174(6):1751–7.

    Article  CAS  PubMed  Google Scholar 

  28. Jennings FLAA. Development of radiation pneumonitis: time and dose factor. Arch Pathol. 1962;74:351–60.

    Google Scholar 

  29. Benveniste MFK, Welsh J, Godoy MCB, Betancourt SL, Mawlawi OR, Munden RF. New era of radiotherapy: an update in radiation-induced lung disease. Clin Radiol. 2013;68(6):e275–90.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Reich JM, Johnson RE. Mycobacterium avium complex pulmonary disease presenting as an isolated lingular or middle lobe pattern. The lady Windermere syndrome. Chest. 1992;101(6):1605–9.

    Article  CAS  PubMed  Google Scholar 

  31. Skeik N, Fl J. Kartagener Syndrome. International Journal of General Medicine. 2011;4:41–3.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Vignes S, Baran R. Yellow nail syndrome: a review. Orphanet J Rare Dis. 2017;12:42.

    Article  PubMed  PubMed Central  Google Scholar 

  33. De longh R, Ing A, Rutland J. Mucociliary function, ciliary ultrastructure, and ciliary orientation in Young’s syndrome. Thorax. 1992;47(43):184–7.

    Google Scholar 

  34. Perandini S, Faccioli N, Zaccarella A, Re TJ, Mucelli RP. The diagnostic contribution of CT volumetric rendering techniques in routine practice. Indian J Radiol Imaging. 2010;20(2):92–7.

    Article  PubMed  PubMed Central  Google Scholar 

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Salvatore, M.M., Go, R.C., Pernia M., M.A. (2018). The Trachea and Bronchi. In: Chest CT for Non-Radiologists. Springer, Cham. https://doi.org/10.1007/978-3-319-89710-3_3

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  • DOI: https://doi.org/10.1007/978-3-319-89710-3_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-89709-7

  • Online ISBN: 978-3-319-89710-3

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