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Bronchial thermoplasty-induced airway changes

Imaging findings

Chest CT shows peribronchial neo-vascularity presenting as a rosette-like pattern of tiny vessels surrounding the airways, along with bronchial wall thickening and mild bronchiectasis in an asthmatic patient.

Key takeaways

Bronchial thermoplasty is a bronchoscopic treatment for severe asthma that delivers thermal energy to airway walls. Long-term post-procedural imaging can show mild bronchiectasis and characteristic peribronchial hypervascularity.

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