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

    203 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

    Keywords

    • Bronchi, CT
    • Bronchiectasis
    • Bronchiolitis

    ASJC Scopus subject areas

    • Radiology Nuclear Medicine and imaging

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