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Spiral CT With Multiplanar and Three-Dimensional Reconstructions Accurately Predicts Tracheobronchial Pathology Joseph LoCicero, MD, Phillip Costello, MD, Christian T. Campos, MD, Nicola Francalancia, MD, Kevin M. Dushay, MD, Ronald C. Silvestri, MD, Joseph D. Zibrak, MD The Annals of Thoracic Surgery Volume 62, Issue 3, Pages (August 1996) DOI: /S (96) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions
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Fig. 1 (A) Transaxial CT demonstrating lesion with extension to peritracheal soft tissue and possible invasion of vascular structures. (B) Coronal CT showing lesion with intraluminal component and partial obstruction of the trachea. (C) Three-dimensional CT using a surface rendering (thresholding) technique graphically demonstrating the entire tumor with extensive airway compromise. (D) Endobronchial view of tumor at the time of bronchoscopic resection. This does not show the extent of wall involvement as well as helical CT. The Annals of Thoracic Surgery , DOI: ( /S (96) ) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions
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Fig. 2 (A) Coronal CT demonstrating two large bronchopleural fistulas. (B) Three-dimensional CT confirming two fistulas directly into empyema cavity and long right main bronchial stump. The Annals of Thoracic Surgery , DOI: ( /S (96) ) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions
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Fig. 3 (A) Transaxial CT demonstrating lesion in trachea. (B) Coronal CT demonstrating location and sessile attachment of the tumor to the tracheal wall; CT numbers of lesions suggested the diagnosis of hamartoma. A second area in the left main bronchus was a collection of mucus. (C) Three-dimensional CT demonstrating exact location, attachment, and extent of tumor. (D) Endobronchial view of the same lesion with a sessile base. (Reprinted with permission from Semin Ultrasound, CT, MRI 1994;15:90–106.) The Annals of Thoracic Surgery , DOI: ( /S (96) ) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions
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Fig. 4 (A) Three-dimensional CT of stent clearly demonstrating angulation of Y into airway. (B) Endoscopic view demonstrating T-Y connection and both ends of the Y stent before laser application. Left-sided obstruction is due to obstruction by stent. The Annals of Thoracic Surgery , DOI: ( /S (96) ) Copyright © 1996 The Society of Thoracic Surgeons Terms and Conditions
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