Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

Tuberculosis and Respiratory Diseases

article

Hong Gil Jeon¹  Ju Hwan Park¹  Hye Min Park¹  Woon Jung Kwon²  Hee Jeong Cha³  Young Jik Lee⁴  Chang Ryul Park⁴  Yangjin Jegal¹  Jong-Joon Ahn¹  Seung Won Ra¹ 

[1] Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine;Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine;Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine;Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, University of Ulsan College of Medicine

关键词: Bronchogenic Cyst;    Ultrasonography;    Magnetic Resonance Imaging;    Infection;   

DOI  :  10.4046/trd.2014.76.2.88

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

【 授权许可】

CC BY-NC