Medical image of the month: Mounier-Kuhn syndrome

Southwest Journal of Pulmonary and Critical Care

Ali A¹  Sirikonda NS¹ 

[1] Good Samaritan Hospital, Mount Vernon, IL USA;

关键词: Mounier-Kuhn;    tracheomegaly;    tracheobronchomegaly;    CT scan;    pulmonary function testing;    dysphagia;    esophageal dilatation;    emphysema;    paraseptal emphysema;    bronchiectasis;   

DOI  :  10.13175/swjpcc044-19

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after 150 words. A 52-year-old non-smoking, Caucasian male patient with a past medical history of reported chronic obstructive pulmonary disease (COPD), recurrent lower respiratory tract infections, prior history of pneumothorax, and dysphagia presented with fevers and shortness of breathing associated with a productive cough for one week. Clinically, he was mildly tachypneic and chest auscultation revealed crackles bilaterally - more prominent at the left base. A chest radiograph (Figure 1) showed bilateral lower lobe pulmonary opacities (left more than right). Computed tomography (CT) of the chest demonstrated airspace disease in the lower lobes in addition to significant tracheobronchomegaly along with paraseptal emphysema and central bronchiectatic changes (Figures 2 and 3). Upper posterior tracheal wall diverticulae were also noted(Figure 3). Serum α1-antitrypsin level and serum immunoglobulins, including IgE levels, were normal. Our patient declined performing diagnostic bronchoscopy. He had a pulmonary function test performed few months prior to his hospital admission which showed combined …

【 授权许可】

Unknown