CTICasesInhalational Thermal Airway Injury
Imaging findings
A patient rescued from a house fire, with soot and burned skin, has extensive airway injury on CT, with markedly edematous and thickened bronchial walls and irregular mucosa involving multiple generations of segmental bronchi throughout the tree. An incidental prior AVM occlusion device is also noted.
Key takeaways
Inhalational thermal injury from a house fire can produce strikingly extensive airway wall edema and mucosal irregularity extending through multiple bronchial generations, a severe imaging manifestation of burn-related airway damage. Recognizing the degree of airway injury is important, though such injury does not necessarily lead to immediate acute lung injury.
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