Diagnosis of bronchial rupture with MR imaging

✍ Scribed by Henry Huson; Gerard J. Sais; Marco A. Amendola

• Publisher: John Wiley and Sons
• Year: 1993
• Tongue: English
• Weight: 271 KB
• Volume: 3
• Category: Article
• ISSN: 1053-1807
• DOI: 10.1002/jmri.1880030620

✦ Synopsis

Abstract

Tracheobronchial rupture is a serious injury occurring in approximately 1.5% of cases of major chest trauma. This injury is associated with significant mortality and morbidity and may be difficult to recognize both clinically and radiologically. Radiologic signs are mostly nonspecific, with pneumothorax and pneumomedi‐astinum being the most common. A high level of suspicion is required to make the diagnosis. Computed tomography (CT) can be helpful; however, it provides only indirect evidence for the diagnosis. This report describes a case of complete transection of the right main bronchus, suspected at plain radiography and CT and clearly shown on magnetic resonance (MR) images. MR imaging, with its multiplanar capabilities, can be helpful in defining the location and extent of injury and in diagnosing injury not suspected or clearly demonstrated with other imaging modalities.