tuberculosis

Punctate stenosis of the left source bronchus. Sequela of bronchial tuberculosis.

This circular area over-raised and whitish center is easily impacted during the biopsy revealing the appearance of caseum. Future tuberculous gangliobronchial fistula.

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.

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.

Bulging of the wall at the entrance to the right source bronchus that ends in a formation reminiscent of the pustules. The biopsy of this mamelon is followed by the appearance of caseum, which is the beginning of the development of a tuberculous gangliobronchial fistula.

View of the very swollen laryngeal crown. It has lost the usual relief of its cartilaginous skeleton and a disseminated granulation is irregularly distributed in the mucosa. The vocal cords also affected, are asymmetrically thickened and deformed.