Focal interruption of main, lobar, segmental, or subsegmental bronchus with associated mucoid impaction (bronchocele/mucocele) & hyperinflation of distal lung
± hyperplasia of distal lung depending on level of bronchial obstruction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Adams NC et al: Fetal ultrasound and magnetic resonance imaging: a primer on how to interpret prenatal lung lesions. Pediatr Radiol. 50(13):1839-54, 2020
Masroujeh R et al: Endobronchial treatment of bronchial atresia. Am J Respir Crit Care Med. 200(3):e25-6, 2019
Higuchi R et al: Surgery for congenital bronchial atresia. Asian Cardiovasc Thorac Ann. 26(6):485-8, 2018
Kozaki M et al: Fetal congenital peripheral bronchial atresia diagnosed by magnetic resonance imaging: two case reports. AJP Rep. 8(4):e201-5, 2018
Watanabe T et al: An investigation on clinical differences between congenital pulmonary airway malformation and bronchial atresia. J Pediatr Surg. 53(12):2390-3, 2018
Alamo L et al: Imaging findings of bronchial atresia in fetuses, neonates and infants. Pediatr Radiol. 46(3):383-90, 2016
Zamora IJ et al: Mainstem bronchial atresia: a lethal anomaly amenable to fetal surgical treatment. J Pediatr Surg. 49(5):706-11, 2014
Bonnefoy C et al: Prenatal diagnosis of lobar bronchial atresia. Ultrasound Obstet Gynecol. 37(1):110-2, 2011
Biyyam DR et al: Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics. 30(6):1721-38, 2010
Daltro P et al: Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics. 30(2):385-95, 2010
Epelman M et al: Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MR. 31(2):141-57, 2010
Lee EY et al: Multidetector CT evaluation of congenital lung anomalies. Radiology. 247(3):632-48, 2008
Martinez S et al: Mucoid impactions: finger-in-glove sign and other CT and radiographic features. Radiographics. 28(5):1369-82, 2008
Keswani SG et al: Prenatal diagnosis and management of mainstem bronchial atresia. Fetal Diagn Ther. 20(1):74-8, 2005
Morikawa N et al: Congenital bronchial atresia in infants and children. J Pediatr Surg. 40(12):1822-6, 2005
Daltro P et al: CT of congenital lung lesions in pediatric patients. AJR Am J Roentgenol. 183(5):1497-506, 2004
Zylak CJ et al: Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics. 22 Spec No:S25-43, 2002
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KEY FACTS
Terminology
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Top Differential Diagnoses
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TERMINOLOGY
Definitions
Focal interruption of main, lobar, segmental, or subsegmental bronchus with associated mucoid impaction (bronchocele/mucocele) & hyperinflation of distal lung
± hyperplasia of distal lung depending on level of bronchial obstruction
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Ultrasonographic Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Adams NC et al: Fetal ultrasound and magnetic resonance imaging: a primer on how to interpret prenatal lung lesions. Pediatr Radiol. 50(13):1839-54, 2020
Masroujeh R et al: Endobronchial treatment of bronchial atresia. Am J Respir Crit Care Med. 200(3):e25-6, 2019
Higuchi R et al: Surgery for congenital bronchial atresia. Asian Cardiovasc Thorac Ann. 26(6):485-8, 2018
Kozaki M et al: Fetal congenital peripheral bronchial atresia diagnosed by magnetic resonance imaging: two case reports. AJP Rep. 8(4):e201-5, 2018
Watanabe T et al: An investigation on clinical differences between congenital pulmonary airway malformation and bronchial atresia. J Pediatr Surg. 53(12):2390-3, 2018
Alamo L et al: Imaging findings of bronchial atresia in fetuses, neonates and infants. Pediatr Radiol. 46(3):383-90, 2016
Zamora IJ et al: Mainstem bronchial atresia: a lethal anomaly amenable to fetal surgical treatment. J Pediatr Surg. 49(5):706-11, 2014
Bonnefoy C et al: Prenatal diagnosis of lobar bronchial atresia. Ultrasound Obstet Gynecol. 37(1):110-2, 2011
Biyyam DR et al: Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics. 30(6):1721-38, 2010
Daltro P et al: Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics. 30(2):385-95, 2010
Epelman M et al: Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MR. 31(2):141-57, 2010
Lee EY et al: Multidetector CT evaluation of congenital lung anomalies. Radiology. 247(3):632-48, 2008
Martinez S et al: Mucoid impactions: finger-in-glove sign and other CT and radiographic features. Radiographics. 28(5):1369-82, 2008
Keswani SG et al: Prenatal diagnosis and management of mainstem bronchial atresia. Fetal Diagn Ther. 20(1):74-8, 2005
Morikawa N et al: Congenital bronchial atresia in infants and children. J Pediatr Surg. 40(12):1822-6, 2005
Daltro P et al: CT of congenital lung lesions in pediatric patients. AJR Am J Roentgenol. 183(5):1497-506, 2004
Zylak CJ et al: Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics. 22 Spec No:S25-43, 2002
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