073 – Endoscopic Semiology
“Bronchoscopy of the minimum changes”: In the distance, on the posterior wall, a small submucosal protrusion dominates among others that look out the tracheal light.
“Bronchoscopy of the minimum changes”: In the distance, on the posterior wall, a small submucosal protrusion dominates among others that look out the tracheal light.
“Bronchoscopy of the minimum changes”: “Submillary” protrusions with creases accentuated of the mucosa and division spur widened at the entrance of the segmental basals.
“Bronchoscopy of the minimum changes”: roughness of the mucosa with turgid vessels in the proximity of a spur of the segmental basals.
“Bronchoscopy of the minimum changes”: Entry of the right lower lobe. A circular area of pale mucosa is observed under the spur of the middle lobe, in hour 11. A biopsy will be necessary to investigate carcinoma in situ.
At hour 11, a slight bulge of the apical segmental wall of the upper lobe (RB1) is the only endoluminal manifestation of a contiguous pulmonary nodule.
Distribution anomaly: in hour 3 appear two segmental bronchi. The outermost of the image it’s the apical of the right lower lobe (RB6) and below it there is an accessory subapical.
“Star” distribution for the segments of the right upper lobe, which are presented as five bronchi.
Left tracheal bronchus: infrequent variant of ventilation of the apicoposterior segment(LB1 + 2) of the left upper lobe, which now does it directly from trachea.
Distribution anomaly: Tracheal bronchus. It is the most common congenital anomaly of the tracheobronchial tree. In this case is missing the upper right lobe as branch of the source bronchus and It is also called porcine bronchus, because it is the normal distribution in the pig.