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Bronchial Atresia
Mantosh S. Rattan, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            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

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Alamo L et al: Imaging findings of bronchial atresia in fetuses, neonates and infants. Pediatr Radiol. 46(3):383-90, 2016
                                            2. Zamora IJ et al: Mainstem bronchial atresia: a lethal anomaly amenable to fetal surgical treatment. J Pediatr Surg. 49(5):706-11, 2014
                                            3. Bonnefoy C et al: Prenatal diagnosis of lobar bronchial atresia. Ultrasound Obstet Gynecol. 37(1):110-2, 2011
                                            4. Biyyam DR et al: Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics. 30(6):1721-38, 2010
                                            5. Daltro P et al: Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics. 30(2):385-95, 2010
                                            6. Epelman M et al: Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MR. 31(2):141-57, 2010
                                            7. Lee EY et al: Multidetector CT evaluation of congenital lung anomalies. Radiology. 247(3):632-48, 2008
                                            8. Martinez S et al: Mucoid impactions: finger-in-glove sign and other CT and radiographic features. Radiographics. 28(5):1369-82, 2008
                                            9. Keswani SG et al: Prenatal diagnosis and management of mainstem bronchial atresia. Fetal Diagn Ther. 20(1):74-8, 2005
                                            10. Morikawa N et al: Congenital bronchial atresia in infants and children. J Pediatr Surg. 40(12):1822-6, 2005
                                            11. Daltro P et al: CT of congenital lung lesions in pediatric patients. AJR Am J Roentgenol. 183(5):1497-506, 2004
                                            12. Zylak CJ et al: Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics. 22 Spec No:S25-43, 2002
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      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

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Alamo L et al: Imaging findings of bronchial atresia in fetuses, neonates and infants. Pediatr Radiol. 46(3):383-90, 2016
                                                                                      2. Zamora IJ et al: Mainstem bronchial atresia: a lethal anomaly amenable to fetal surgical treatment. J Pediatr Surg. 49(5):706-11, 2014
                                                                                      3. Bonnefoy C et al: Prenatal diagnosis of lobar bronchial atresia. Ultrasound Obstet Gynecol. 37(1):110-2, 2011
                                                                                      4. Biyyam DR et al: Congenital lung abnormalities: embryologic features, prenatal diagnosis, and postnatal radiologic-pathologic correlation. Radiographics. 30(6):1721-38, 2010
                                                                                      5. Daltro P et al: Congenital chest malformations: a multimodality approach with emphasis on fetal MR imaging. Radiographics. 30(2):385-95, 2010
                                                                                      6. Epelman M et al: Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MR. 31(2):141-57, 2010
                                                                                      7. Lee EY et al: Multidetector CT evaluation of congenital lung anomalies. Radiology. 247(3):632-48, 2008
                                                                                      8. Martinez S et al: Mucoid impactions: finger-in-glove sign and other CT and radiographic features. Radiographics. 28(5):1369-82, 2008
                                                                                      9. Keswani SG et al: Prenatal diagnosis and management of mainstem bronchial atresia. Fetal Diagn Ther. 20(1):74-8, 2005
                                                                                      10. Morikawa N et al: Congenital bronchial atresia in infants and children. J Pediatr Surg. 40(12):1822-6, 2005
                                                                                      11. Daltro P et al: CT of congenital lung lesions in pediatric patients. AJR Am J Roentgenol. 183(5):1497-506, 2004
                                                                                      12. Zylak CJ et al: Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics. 22 Spec No:S25-43, 2002