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Right middle lobe bronchial atresia

Right middle lobe bronchial atresia▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

Focal hypodensity in the right middle lobe with a branching low-attenuation area representing a mucocele. The right middle lobe bronchus is not visualized, confirming atresia. MRI confirmed the mucocele (T2 hyperintense, non-enhancing).

Key takeaways

Bronchial atresia is characterized by the absence of a visible bronchus and the development of a mucocele distal to the atresia, leading to focal hyperinflation or air trapping.

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