Frequency and Severity of Air Trapping at Dynamic Expiratory CT in Patients with Tracheobronchomalacia
J. Zhang1,2,
I. Hasegawa1,3,
H. Hatabu1,3,
D. Feller-Kopman1,3 and
P. M. Boiselle1,3
1 Department of Radiology, Beth Israel Deaconess Medical Center and Harvard
Medical School, 330 Brookline Ave., Boston, MA 02215.
2 Present address: Department of Radiology, New York University Medical Center
and Harvard Medical School, New York, NY.
3 Division of Pulmonary Medicine, Beth Israel Deaconess Medical Center and
Harvard Medical School, Boston, MA.

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Fig. 1A. 50-year-old man with tracheobronchomalacia and air trapping.
End-inspiratory CT scan obtained at level of aortic arch shows normal
appearance of trachea and lung parenchyma.
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Fig. 1B. 50-year-old man with tracheobronchomalacia and air trapping.
Dynamic expiratory CT scan obtained at level similar to A shows
excessive collapse of trachea (black arrows), consistent with
malacia. Also note areas of geographically marginated radiolucency (white
arrows) within lungs, consistent with air trapping.
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Fig. 1C. 50-year-old man with tracheobronchomalacia and air trapping.
End-inspiratory CT scan obtained at level of right upper lobe bronchus shows
normal appearance of bronchi and lungs.
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Fig. 1D. 50-year-old man with tracheobronchomalacia and air trapping.
Dynamic expiratory CT scan obtained at level similar to C shows
excessive narrowing of bronchi (black arrows) consistent with
bronchomalacia. Also note extensive areas of geographically marginated
radiolucency (white arrows) within lungs, consistent with air
trapping.
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Fig. 2A. 44-year-old woman with tracheobronchomalacia and air
trapping. End-inspiratory CT scan obtained at level of right inferior
pulmonary vein shows normal appearance of lungs except for small, ill-defined
nodule in right middle lobe.
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Fig. 2B. 44-year-old woman with tracheobronchomalacia and air
trapping. Dynamic expiratory CT scan obtained at level similar to A
shows multiple geographically marginated radiolucent areas (arrows)
within lungs, consistent with air trapping.
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Copyright © 2004 by the American Roentgen Ray Society.