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Intrapulmonary bronchogenic cyst: spontaneous dissolution?

M S Shin¹, S E Buchalter, K J Ho

¹Department of Radiology, School of Medicine, University of Alabama, Birmingham.

Alabama Medicine : Journal of the Medical Association of the State of Alabama

|April 1, 1990

Summary

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A solitary pulmonary nodule resolved spontaneously, revealing an intrapulmonary bronchogenic cyst. This pseudo-resolution occurred when the cyst communicated with an airway, discharging its contents.

Area of Science:

Pulmonology
Radiology
Thoracic Surgery

Background:

A solitary pulmonary nodule was identified in a 43-year-old woman with recurrent acute bronchitis.
The nodule remained stable in size for over three years on serial chest radiographs.

Observation:

The most recent chest radiograph showed complete resolution of the pulmonary nodule.
Computed tomography (CT) revealed a thin-walled, air-filled cyst at the nodule's prior location.

Findings:

The nodule was diagnosed as an intrapulmonary bronchogenic cyst.
The cyst likely developed a communication with the bronchial tree.

Implications:

This case highlights a rare instance of "pseudo-resolution" of a pulmonary nodule.

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Understanding this phenomenon is crucial for accurate diagnosis and management of pulmonary lesions.