J Korean Radiol Soc.  1988 Oct;24(5):756-761. 10.3348/jkrs.1988.24.5.756.

CT diagnosis of broncholithiasis

• Hong JH
• Im JG
• Park JM
• Han MC

• KMID: 2359208
• DOI: http://doi.org/10.3348/jkrs.1988.24.5.756

Abstract

Broncholithiasis is a condition in which a calcified hilar or mediastinal lymph node compress or erode the tracheobronchial tree and cause a variety of clinical manifestation including cough, hemoptysis and obstructive pneumonitis. We retrospectively analysed 10 cases of broncholithiasis which were diagnosed by CT, bronchoscopy,and surgery in seoul National University Hospital from 1983 to 1988. In all 10 patients, CT showed calcified broncholith clearly, while fiberoptic bronchoscopy detected endobronchial abnormality in 9 patients, among whom broncholithiasis were suggested in 4 patients. In 7 patients, the sequelae of prior tuberculous lymphadenitis was considered as an etiology of broncholithiasis, The most frequent location of broncholith was the right middle lobe, followed by anterior segment of right upper lobe and superior segment of both lower lobes. CT is the mostspecific imaging modality for the diagnosisof broncholithiasis.

MeSH Terms

Bronchoscopy
Cough
Cytochrome P-450 CYP1A1
Diagnosis*
Hemoptysis
Humans
Lymph Nodes
Pneumonia
Retrospective Studies
Seoul
Trees
Tuberculosis, Lymph Node
Cytochrome P-450 CYP1A1