Complete loss of the normal anatomy of the main carina. View from the distal trachea in which the carina can not be seen, due to the existence of a necrotic surface tissue, with dehydrated purulent secretions that subocludes the entry of both bronchi source: adenocarcinoma.
The left upper lobe is occluded by an anomalous tissue, with a homogeneous and somewhat rough surface. The secondary carina looks curiously linear and straight. In the distance you can see the lower lobular, poorly lit.
This lesion, somewhat lobed on its surface, completely seals the entrance to the lower lobe bronchus. Photograph of the excised carcinoma.
Remarkable pallor of this bronchial wall that contrasts with the superficial vessels that form small islands. Thickening and rigidity conferred by an adenocarcinoma that has invaded the mediastinum.
On this enlarged bronchial spur, the engorged vessels that form “islands” in their tortuous path are observed. Biopsy: adenocarcinoma. Alejandro Posadas Hospital
