170 – Black Hole Sign
In the flexible bronchoscopy of the previous case, the entrance to the cavity is found through two bronchi separated by its spur, producing a double sign of the “black hole“. Hospital Francisco Muñiz
Stening
169 – Bronchoscopy in the pulmonary cavities
The chest radiograph was taken without the necessary centering, as shown by the asymmetry between the clavicles and the transverse processes, generating a false image of left pulmonary retraction, (sign of the “naked column”). A confusing destructive pattern occupies all that hemithorax in which a system of several lung cavities is hidden. Francisco Muñiz Hospital
167 – Cavitary Aspergillosis
It is one of the three ways in which it affects the lung. View of the interior of a cavity with colonies of Aspergillus fumigatus. The fungus produces a local disorder of coagulation and can cause serious and fatal hemoptysis. CT scan of the previous case in which the aspergilloma is observed as a prominence … Read more
165 – “Black Hole Sign”
On the right, the presence of the “black hole” sign announces the existence of the cavity. The mucosa is edematized and the division spur has lost its edge, becoming blunt. View of the entrance to the cavity
164 – Tuberculous Cavern
Inspection of the interior of a cave is an infrequent act. Small bronchi with tiny spurs may appear on its wall.
163 – Bronchial Tuberculosis
Punctate stenosis of the left source bronchus. Sequela of bronchial tuberculosis.
162 – Gangliobronchial fistula
This circular area over-raised and whitish center is easily impacted during the biopsy revealing the appearance of caseum. Future tuberculous gangliobronchial fistula.
161 – Bronchial parallelism
View from the intrathoracic trachea. These source bronchi are “reunited”. Note that the separation angle has been reduced, giving a singular aspect of parallelism. The posterior tracheal wall is also modified. The changes are due to a thoracoplasty of six ribs, which has included the first, as a complementary surgical treatment for multidrug-resistant pulmonary tuberculosis.
160 – Gangliobronchial fistula
Bulging formation in the bronchial wall that hides the outlet of the fistula.
159 – Gangliobronchial fistula
The medial wall of the right source bronchus shows an anfractuous and irregular opening as a result of a tuberculous lymphadenitis that discharges its caseous content into the bronchial lumen.