Thorax 66:182 doi:10.1136/thx.2009.130179
  • Images in Thorax

Finger-in-glove sign in bronchial atresia

  1. Malcolm Kohler
  1. Pulmonary Division, University Hospital of Zurich, Switzerland
  1. Correspondence to Malcolm Kohler, Pulmonary Division, University Hospital of Zurich, Raemistrasse 100, CH-8091 Zurich, Switzerland; malcolm.kohler{at}
  • Accepted 16 February 2010
  • Published Online First 2 August 2010

A 31-year-old, HIV-positive man presented with a history of chronic dry cough. Chest x-ray showed a rounded, branching opacity in the left upper lung (finger-in-glove sign, figure 1A). CT showed mucoid impaction, segmental hyperlucency and decreased vascularity of the left upper lobe (figure 1B). 3D reconstruction of the bronchial tree revealed an atretic apicoposterior segmental bronchus of the …

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