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AJR 2005; 185:347-353
© American Roentgen Ray Society

Clinical Observations

Endobronchial Actinomycosis Associated with Broncholithiasis: CT Findings for Nine Patients

Tae Sung Kim1, Joungho Han2, Won-Jung Koh3, Jae Chol Choi3, Myung Jin Chung1, Kyung Soo Lee1, O Jung Kwon3, Ju Hyun Lee1, Sung Shine Shim1 and Semin Chong1

1 Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, South Korea.
2 Department of Diagnostic Pathology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, South Korea.
3 Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50, Ilwon-dong, Gangnam-gu, Seoul 135-710, South Korea.

Abstract

OBJECTIVE. Our objective was to assess the CT findings for endobronchial actinomycosis associated with broncholithiasis.

CONCLUSION. Endobronchial actinomycosis associated with broncholithiasis manifests as a proximal obstructive calcified endobronchial nodule associated with distal postobstructive pneumonia of the involved lobe or segment on CT. The possibility of endobronchial actinomycosis should be entertained when broncholithiasis is seen on CT in tuberculosis-endemic areas.


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