A Case of Incidental Bronchial Atresia

Bronchial atresia (BA) is a rare condition that appears radiologically as a perihilar mass lesion and increased peripheral aeration. A 29-year-old asymptomatic male patient was identified with a right perihilar mass during a routine medical examination linked to a job application. Before applying to our clinic, the patient had had undergone non-contrast thoracic CT and PET-CT. Physical examination was normal, while contrast-enhanced thorax tomography revealed a right central mass and signs of air trapped in its periphery. A pulmonary function test was normal. All bronchi were open on bronchoscopy, however a small blunt orifice was observed at the right upper lobe posterior segment entrance. We present this case due to it being a rare condition and the potential for confusion with cancer radiologically. BA with mass image and increased peripheral aeration on thorax CT can be diagnosed based on clinical and radiological findings, allowing unnecessary invasive interventions to be avoided.

Ýnsidental Bir Bronþiyal Atrezi Olgusu

Bronþiyal atrezi nadir görülen bir durumdur. Radyolojik olarak genellikle perihiler kitle lezyonu ve periferal havalanma artýþý þeklinde karþýmýza çýkar. Yirmi dokuz yaþýnda asemptomatik erkek hastanýn iþ baþvurusu sýrasýnda yapýlan saðlýk taramasýnda çekilen akciðer grafisinde sað perihiler kitle saptanmýþ. Kliniðimize baþvuru öncesinde hastaya kontrastsýz toraks tomografisi (BT) ve PET-CT çekilmiþ. Fizik muayenesi normal olan hastaya kontrastlý toraks BT çektik, sað santral kitle ve periferinde hava hapsi saptadýk. Solunum fonksiyon testi normaldi. Bronkoskopide tüm bronþlar açýktý, sað üst lob posterior segment giriþinde küçük kör sonlanan orifis görüldü. Bu olguyu, radyolojik olarak kanser le karýþabilmesi ve nadir görülmesi nedeniyle sunmak istedik. Kitle imajý ve periferik hava hapsi ile karakterize olan bronþiyal atreziye klinik ve radyolojik olarak taný koyulabilir ve gereksiz invazif giriþimlerden kaçýnýlabilir.