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Tracheobronchomalacia may also occur in people who have normal cartilaginous structure of the trachea, but significant atrophy of the posterior wall, causing significant invagination of the trachea on expiration. In these cases it is more commonly known as excessive dynamic airway collapse (EDAC).
Dynamic compression of the airways results when intrapleural pressure equals or exceeds alveolar pressure, which causes dynamic collapsing of the lung airways. It is termed dynamic given the transpulmonary pressure (alveolar pressure − intrapleural pressure) varies based on factors including lung volume, compliance, resistance, existing pathologies, etc. [1]
Cross-sectional radiological images are important in detecting mediastinal structures involved in TM prior to surgery. Tracheography/ Bronchography is no longer a preferred diagnostic method. Bronchography provides an accurate measurement of the airway lumen with a dynamic and morphological evaluation of the tracheobronchial tree .
In people with TBI, bronchoscopy may reveal that the airway is torn, or that the airways are blocked by blood, or that a bronchus has collapsed, obscuring more distal (lower) bronchi from view. [3] Chest x-ray is the initial imaging technique used to diagnose TBI. [17] The film may not have any signs in an otherwise asymptomatic patient. [15]
It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis, or a neoplastic process. [1] When a substance other than air fills an area of the lung it increases that area's density.
In radiology, the tree-in-bud sign is a finding on a CT scan that indicates some degree of airway obstruction. [1] The tree-in-bud sign is a nonspecific imaging finding that implies impaction within bronchioles, the smallest airway passages in the lung.
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Atlas image: lung_carina at the University of Michigan Health System - "Cast of trachea and bronchi, anterior view" (#2) [dead link ] "Trachea and carina — tomogram, coronal plane" at SUNY Downstate Medical Center Archived 2016-03-03 at the Wayback Machine