Hosting 723 files, 2931 images, and 4 contributors.

Random Case

Splenic Cyst
Joseph Junewick, MD FACR
over 7 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

Teenager with chest pain.

Case Detail

Anatomy: Chest
Joseph Junewick, MD FACR
Diagnostic Category: Genetic or Congenital
Created: over 8 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: CT 3D
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Clinical Notes

Left pneumothorax was diagnosed by chest radiography. CT requested to evaluate for subpleural bleb or other congenital anomaly of the lung.

Reveal Findings

CT – Coronal reformatted images demonstrate left pneumothorax and anomalous segmental bronchus arising from the trachea with bronchiectasis. Volume rendered virtual endoscopic CT image shows the origin of the anomalous bronchus proximal to the carina.

Reveal Discussion

Tracheal bronchus is an ectopic or accessory bronchus often arising from the right side of the trachea just proximal to the carina. It is a normal finding in pigs and is often referred to as a pig bronchus; it is unusual in humans (found in about 1%).

Tracheal bronchus can presentwith recurrent right upper lobe pneumonia and/or bronchiectasis but is often asymptomatic.

Tracheal bronchus can be associated with tracheal stenosis, tracheoesophageal fistula, single pulmonary artery and trisomy 21.

Reveal Diagnosis

Anomalous Right Upper Lobe Bronchus

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare