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Excessive Dynamic Airway Collapse

Imaging findings

Inspiratory CT shows a normal trachea. Dynamic expiratory CT demonstrates severe collapse of the posterior membrane of the trachea, almost touching the anterior cartilaginous wall, while the C-shaped cartilage rings remain intact.

Key takeaways

Excessive dynamic airway collapse (EDAC) is characterized by expiratory invagination of the posterior membrane of the trachea, differing from tracheobronchomalacia which involves softening of the cartilaginous rings. It can only be diagnosed on expiratory or dynamic imaging.

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