PMC10131121_01
Thoracic CT with contrast revealed Fig. 1A. Narrowing of proximal trachea with multi-nodular calcifications, Fig. 1B. Narrowing of distal trachea with multi-nodular calcifications, Fig. 1C. Narrowing of proximal main bronchi with multi-nodular calcifications Fig. 1D. Multiple calcific protuberations on the anterior wall of trachea.
gr1.jpg
PMC10131121_01_gr1.jpg
fig1
A 61-year-old male patient was referred to our reference chest diseases center for further examination after the narrowing of the tracheobronchial tree by multiple nodular calcifications protruding into the lumen was detected in the thoracic CT (Fig. 1) performed at another center.
Bronchoscopic view of the widespread and extended multiple cartilaginous and osseous nodules protruding into Fig. 2A Middle tracheal lumen, Fig. 2B distal tracheal lumen, Fig. 2C proximal right main bronchus lumen, Fig. 2D intermedier bronchus lumen, Fig. 2E proximal left bronchus lumen, Fig. 2F distal left bronchus lumen, called as "rock-garden".
gr2.jpg
PMC10131121_01_gr2.jpg
fig2
The middle tracheal lumen was narrowed by these lesions at the rate of 40% (Fig. 2).
Lymphoid proliferation, cartilage, osseous, and lipomatous tissues in the bronchial wall (10x10 Hematotoxylin-Eosin).
gr3.jpg
PMC10131121_01_gr3.jpg
fig3
Histopathology of punch biopsies taken from the hard-content lesions via FOB was reported as lymphoid proliferation, edema, cartilage, osseous, and lipomatous tissues in the bronchial wall (Fig. 3).