CT of the chest shows a dilated, fluid-filled right lower lo | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

CT of the chest shows a dilated, fluid-filled right lower lobe bronchus (arrow). The lung distal to this is hyperinflated. Bronchial atresia is most common in the left upper lobe and least common in the right lower lobe. On x-ray, the impacted bronchus has a "finger-in-glove" appearance. #ThoraxThursday

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Image from an upper GI examination in a neonate with a history of recurrent pneumonia shows the right lower lobe bronchus arising from the esophagus. An esophageal bronchus is an incredibly rare congenital bronchopulmonary foregut malformation. Esophageal bronchi are more common on the right side and occur more frequently in girls. They are associated with other anomalies including duodenal atresia, distal tracheoesophageal fistula, esophageal atresia, and congenital heart disease.](https://app.figure1.com/case-detail/238e9728-b6a8-4917-8e72-1610e05dc0f6)


This is the CT from my last upload. Patchy airspace opacification left lower lobe, tree-in-bud pattern in right upper lobe, and cavity opening into left upper lobe bronchus in left upper lobe. This is severe progressive primary #Tuberculosis. No enlarged nodes and no effusions.](https://app.figure1.com/case-detail/351aeaba-3e97-4ea2-b5f0-0dce1791df35)


3D reconstructed image from a chest CT shows the right lower lobe bronchus arising from the left lower lobe. Lung tissue is connected and crosses midline. This anomaly is extremely uncommon. A horseshoe lung is said to occur when the pulmonary tissue is connected at midline. Usually in these cases bronchial anatomy is normal. #ThoraxThursday](https://app.figure1.com/case-detail/4e109d1b-9eb9-488f-8a5b-eb923c47f2aa)


Coronal image from a chest CT shows a tracheal bronchus (arrow). A tracheal bronchus is an anatomic variant where an accessory bronchus or displaced bronchus arises from the trachea. The tracheal bronchus almost always supplies the right upper lobe. Patients with a tracheal bronchus are usually asymptomatic but may present with recurrent right upper lobe pneumonia or recurrent right upper lobe atelectasis if intubated.
#ThoraxThursday #ThoracicThursday](https://app.figure1.com/case-detail/53b1a36d-512f-4ecc-8003-ea1a25726bb5)


A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)


A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)