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Post-Operative Tracheal Granulation Tissue

Imaging findings

CT chest shows irregular, soft-tissue nodularity and wall thickening at the site of a previous tracheal resection and anastomosis (for adenoid cystic carcinoma), causing mild luminal narrowing.

Key takeaways

Granulation tissue formation is a common, benign complication at the suture line of a tracheal anastomosis. It can cause post-operative stridor or airway narrowing, mimicking tumor recurrence, and requires endoscopic biopsy and debridement.

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