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42 Broncholithiasis*
CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL
• Fig 42-1 Extrusion of a calcified adjacent
lymph node. CT scans with mediastinal (A) and
lung (B) windows shows a calcified nodule
within a dilated bronchus.81
• Fig 42-2 Extrusion of a calcified adjacent lymph
node. Calcified nodule (arrowhead) in the
anterior basal segment of the right lower lobe
with secondary atelectasis.79
• Fig 42-3 Calcification of an aspirated foreign body.
The calcified nodule in the bronchus intermedius
proved to be a vegetable fiber with dystrophic
calcification. Note the atelectasis of the right
lower lobe.79
• Fig 42-4 Aspiration of an opaque anchovy
bone. Tubular calcified lesion at the orifice of
the upper lobe bronchus (arrow).79
• Fig 42-5 Endobronchial actinomycosis with
dystrophic calcification. Calcified nodule within
the bronchus of the lingular division of the left
upper lobe (arrow) with peripheral atelectasis.80
• Fig 42-6 Carcinoid tumor. Sharply defined, totally ossified mass
(arrow) that is centrally situated in the right lower lobe bronchus
and produces abrupt bronchial obstruction.79
• Fig 42-7 Hamartoma. Small calcified nodule obstructing
the right upper lobe bronchus (arrow).79
• Fig 42-8 Amyloidosis. Localized thickening of
the bronchial wall with calcification and
partial intraluminal protrusion (arrows).81
• Fig 42-9 Hypertrophied bronchial artery. (A)
Contrast-enhanced scan shows a high-
attenuation nodular structure (arrow) at the
bifurcation of the bronchus intermedius,
which mimics broncholithiasis. (B) This
unenhanced section scan reveals that the
high-attenuation structure is not calcified.82
42 broncholithiasis

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42 broncholithiasis

  • 2. CLINICAL IMAGAGING AN ATLAS OF DIFFERENTIAL DAIGNOSIS EISENBERG DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL
  • 3. • Fig 42-1 Extrusion of a calcified adjacent lymph node. CT scans with mediastinal (A) and lung (B) windows shows a calcified nodule within a dilated bronchus.81
  • 4. • Fig 42-2 Extrusion of a calcified adjacent lymph node. Calcified nodule (arrowhead) in the anterior basal segment of the right lower lobe with secondary atelectasis.79
  • 5. • Fig 42-3 Calcification of an aspirated foreign body. The calcified nodule in the bronchus intermedius proved to be a vegetable fiber with dystrophic calcification. Note the atelectasis of the right lower lobe.79
  • 6. • Fig 42-4 Aspiration of an opaque anchovy bone. Tubular calcified lesion at the orifice of the upper lobe bronchus (arrow).79
  • 7. • Fig 42-5 Endobronchial actinomycosis with dystrophic calcification. Calcified nodule within the bronchus of the lingular division of the left upper lobe (arrow) with peripheral atelectasis.80
  • 8. • Fig 42-6 Carcinoid tumor. Sharply defined, totally ossified mass (arrow) that is centrally situated in the right lower lobe bronchus and produces abrupt bronchial obstruction.79
  • 9. • Fig 42-7 Hamartoma. Small calcified nodule obstructing the right upper lobe bronchus (arrow).79
  • 10. • Fig 42-8 Amyloidosis. Localized thickening of the bronchial wall with calcification and partial intraluminal protrusion (arrows).81
  • 11. • Fig 42-9 Hypertrophied bronchial artery. (A) Contrast-enhanced scan shows a high- attenuation nodular structure (arrow) at the bifurcation of the bronchus intermedius, which mimics broncholithiasis. (B) This unenhanced section scan reveals that the high-attenuation structure is not calcified.82