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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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