JPMA. The Journal of the Pakistan Medical Association
-
We present a case of congenital bronchial atresia with unique features in a twenty eight years old asymptomatic, non-smoker male who presented to our department for X -ray chest as a part of routine annual medical check up. It revealed an incidental, well defined, branching opacity in the left upper lobe close to the hilum. A differential diagnosis of vascular malformation and bronchocoele was given with advice to the patient to follow up after five months. ⋯ It was non-enhancing and had a typical branching character with paucity of vessels in the surrounding lung. Lack of symptoms and CT features of the opacity were sufficient to label this patient as a case of congenital bronchial atresia with mucocoele formation. No frank emphysematous change had yet developed around the atretic bronchial segment.