Bronchiectasis: Comparison of preoperative thin-section CT and pathologic findings in resected specimens

Eun Young Kang, Roberta R. Miller, Nestor L. Müller

Research output: Contribution to journalArticlepeer-review

206 Citations (Scopus)

Abstract

PURPOSE: To compare thin-section computed tomographic (CT) and pathologic findings in patients who have undergone resection for bronchiectasis. MATERIALS AND METHODS: Twenty-two consecutive patients underwent thin- section CT (1.0-1.5-mm collimation) and resection for bronchiectasis. CT scans were reviewed by two observers without knowledge of the pathologic findings. The presence and extent of bronchiectasis and associated findings were assessed. All pathologic specimens were reviewed by a pathologist. RESULTS: Forty-seven lobes had pathologically proved bronchiectasis CT allowed detection of bronchiectasis in 41 lobes (87%). CT findings included lack of tapering of bronchial lumina (n = 37), internal diameter of bronchi greater than that of the adjacent pulmonary artery (n = 28), visualized bronchi within 1 cm of pleura (n = 21), and mucus-filled dilated bronchi (n = 3). Forty lobes had bronchiolitis. CT scans depicted bronchiolitis in 30 lobes (75%). CT findings of bronchiolitis included mosaic perfusion (n = 21), bronchiolectasis (n = 17), and centrilobular nodules or branching areas of soft-tissue attenuation (n = 10). CONCLUSION: Thin-section CT depicted bronchiectasis in most of the resected bronchiectatic lobes.

Original languageEnglish
Pages (from-to)649-654
Number of pages6
JournalRadiology
Volume195
Issue number3
DOIs
Publication statusPublished - 1995 Jun
Externally publishedYes

Keywords

  • Bronchi, CT
  • Bronchiectasis
  • Bronchiolitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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