CTICasesBronchial lymphoma causing bronchopleural fistula
Imaging findings
Chest CT shows soft tissue masses causing near-complete obstruction of both the right and left main bronchi, which following bronchoscopic debridement led to a left bronchopleural fistula, a persistent pneumothorax, and a gas/fluid collection in the mediastinal/pleural space. Biopsy confirmed secondary lymphoma.
Key takeaways
Secondary bronchial or endobronchial lymphoma is rare and can cause major airway obstruction. Endobronchial debridement of such lesions is associated with a high risk of airway perforation and bronchopleural fistula when the tumor infiltrates through the entire thickness of the bronchial wall.
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