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.