Bronchial Stenosis in Chronic Sarcoidosis

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Bronchial Stenosis in Chronic Sarcoidosis Jack L. Westcott, M.D., Theodore H. Noehren, M.D., F.C.C.P. CHEST Volume 63, Issue 6, Pages 893-897 (June 1973) DOI: 10.1378/chest.63.6.893 Copyright © 1973 The American College of Chest Physicians Terms and Conditions

FIGURE 1A (upper left). Chest roentgenogram in January, 1972, reveals bilateral hilar masses, scars extending to periphery of lungs, and emphysematous appearing areas in periphery of lungs, especially on right. Figure 1B (center) Right bronchogram (only one side was done because of patient's poor pulmonary function). There is marked stenosis of orifices of all segmental bronchi. Lower lobe bronchi filled and were of more normal caliber distally. Upper lobe bronchi never filled beyond stenotic origins. Figure 1C (bottom) Tracheobronchial laminagram. There is stenosis of segmental bronchial orifices bilaterally. Branches to right upper lobe and superior segment of right lower lobe are severely narrowed and appear to be almost totally obstructed. (Patient 1) CHEST 1973 63, 893-897DOI: (10.1378/chest.63.6.893) Copyright © 1973 The American College of Chest Physicians Terms and Conditions

FIGURE 2A (left). Chest roentgenogram in 1965 three years after onset of illness. There are linear and nodular densities in both lungs and perihilar infiltration of lung on left side. Figure 2B (center). Chest roentgenogram in March, 1970. There has been progression of nodular and linear densities in lungs, and perihilar infiltration is now bilateral and more extensive than in 1965. Figure 2C (right). Chest roentgenogram in March, 1971, after treatment with prednisone, then chlorambucil. There has been marked regression of pulmonary and perihilar infiltration, but there is evidence of extensive fibrosis, with upward retraction of hila, and numerous scars are seen radiating outward to lung periphery. CHEST 1973 63, 893-897DOI: (10.1378/chest.63.6.893) Copyright © 1973 The American College of Chest Physicians Terms and Conditions

FIGURE 2D Tracing of laminagram of tracheobronchial tree reveals narrowing of segmental bronchi bilaterally. (Original did not reproduce satisfactorily). Tr–trachea, RUL–right upper lobe, BI–bronchus intermedius, LUL–left upper lobe, RUL–right upper lobe. CHEST 1973 63, 893-897DOI: (10.1378/chest.63.6.893) Copyright © 1973 The American College of Chest Physicians Terms and Conditions