Abstract

Inflammatory occlusion of one or more bronchi entering an area of unresolved pneumonia can be differentiated from obstruction due to bronchogenic carcinoma. The obstruction always occurs some distance from the bronchial origin, at the edge of the inflammatory process. The obstructed end is smooth and regular; when concave, the concavity is toward the hilus. Other abnormalities may include a small projection extending from the center of the concavity, a slight bulge on both sides of the obstructed end, or gentle and gradual tapering of the occluded bronchus. A possible explanation of the pathogenesis is offered, and the differential characteristics are discussed.

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