Confusing image in which the anatomical structures are difficult to recognize. The tracheal domed ceiling ends in the anterior carinal triangle, barely visible. On your right the source bronchus. Large amount of blood and exudates fill the free space between the disordered tissues that occupy the light, occluding the left source bronchus. A carcinoma of … Read more
Flexible bronchoscopy performed to determine the possibility of operation of an esophageal carcinoma. The longitudinal folds have completely disappeared due to the edema of the posterior wall. A small bulge rises on the surface as a direct sign of infiltration by neoplastic tissue of the tracheal wall.
The bulging of the posterior wall “separates the longitudinal folds”, and is a necessary effect of the posterior extrinsic compressions. In the case, a carcinoma of the esophagus exerts a notorious repercussion that, due to its contiguity, it produces on the trachea all the way to the carina, which is also affected.
Clear cell carcinoma. A voluminous mass of tissue occupies the light of the right source bronchus, with some protrusions on the surface. Through a triangular light that allows pulmonary ventilation, you can see the entrance of the upper lobe. A plane of separation with the mucosa of the bronchus around the perimeter of the lesion … Read more
Bronchoscope stopped next to a smooth surface formation but irregular contour, with abnormally voluminous surface vessels. It is an endotracheal metastasis of breast carcinoma. At the bottom of the image, the edema, the enlarged and pale carina, the left main bronchus with its reduced entrance and clogged secretions complete the set of indicative elements of … Read more
Combination. In the upper part of the image we can see the lesion that is still submucosally located, in the form of a protrusion that seeks to burst into the light, with its plethoric parallel vessels. In the center of the photograph the lesion is vegetative and thrives inside the bronchial lumen. Carcinoma.
Image corresponding to the previous case, after a recanalization of the right source bronchus. There are diffuse inflammatory changes and blood in the path of the bronchus, which can be followed up to the lower lobe. The folds in the source bronchus, deep and tortuous, are diverted to enter the upper lobe, but it is … Read more
A voluminous vegetative formation settles in the tracheal carina and completely occludes the light of the right source bronchus and reduces that of the left. The surface is irregular, with protrusions and increased vascularization in some areas. The tissue that obstructs the right main bronchus has been necrotic. The posterior tracheal wall seems to be … Read more