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Tracheomalacia on Dynamic Expiratory CT

Imaging findings

A dynamic (cine) CT protocol performed during repeated coughing with repeated rotations demonstrates excessive expiratory collapse of the tracheal lumen, a clearly positive study for tracheomalacia that can be assessed at any airway level.

Key takeaways

Dynamic expiratory or cough CT protocols can demonstrate tracheomalacia by capturing excessive airway collapse during forced expiration or coughing, which static inspiratory imaging may miss. The technique can be applied at any tracheobronchial level to document dynamic airway collapse.

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