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Tracheobronchial Tear: Multimedia

Author: David W Light IV, MD, Staff Physician, Department of Radiology, Memorial Hermann Memorial City Hospital
Coauthor(s): J Michael Holbert, MD, Associate Professor, Department of Radiology, Scott and White Memorial Hospital and Clinic; Mark L Montgomery, MD, Vice Chair of Education, Assistant Professor and Course Coordinator, Department of Radiology, Texas A&M College of Medicine; Consulting Staff, Divisions of Interventional Radiology and Diagnostic Imaging, Scott and White Clinic
Contributor Information and Disclosures

Updated: Sep 13, 2007

Multimedia

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Media file 1: Animated cine images from virtual bronchoscopy (see Images 2-29). The animation begins with a view of the carina and advances distally into the right main bronchus. An obstruction of the right main bronchus is consistent with a bronchial tear.

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Animated cine images from virtual bronchoscopy (see Images 2-29). The animation begins with a view of the carina and advances distally into the right main bronchus. An obstruction of the right main bronchus is consistent with a bronchial tear.

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Media file 2: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 3-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 3-29).

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Media file 3: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2, 4-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2, 4-29).

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Media file 4: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-3 and 5-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-3 and 5-29).

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Media file 5: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-4, 6-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-4, 6-29).

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Media file 6: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-5, 7-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-5, 7-29).

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Media file 7: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-6, 8-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-6, 8-29).

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Media file 8: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-7, 9-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-7, 9-29).

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Media file 9: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-8, 10-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-8, 10-29).

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Media file 10: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-9, 11-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-9, 11-29).

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Media file 11: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-10, 12-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-10, 12-29).

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Media file 12: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-11, 13-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-11, 13-29).

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Media file 13: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-12, 14-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-12, 14-29).

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Media file 14: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-13, 15-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-13, 15-29).

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Media file 15: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-14, 16-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-14, 16-29).

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Media file 16: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-15, 17-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-15, 17-29).

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Media file 17: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-16, 18-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-16, 18-29).

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Media file 18: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-17, 19-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-17, 19-29).

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Media file 19: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-18, 20-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-18, 20-29).

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Media file 20: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-19, 21-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-19, 21-29).

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Media file 21: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-20, 22-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-20, 22-29).

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Media file 22: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-21, 23-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-21, 23-29).

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Media file 23: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-22, 24-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-22, 24-29).

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Media file 24: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-23, 25-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-23, 25-29).

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Media file 25: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-24, 26-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-24, 26-29).

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Media file 26: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-25, 27-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-25, 27-29).

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Media file 27: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-26, 28-29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-26, 28-29).

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Media file 28: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-27 and 29).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-27 and 29).

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Media file 29: Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-28).

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Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-28).

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Media file 30: Frontal chest radiograph from a 26-year-old man after major trauma. This image shows complete opacification of the right hemithorax without air bronchograms, abrupt termination of the right mainstem bronchus, and multiple upper right rib fractures.

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Frontal chest radiograph from a 26-year-old man after major trauma. This image shows complete opacification of the right hemithorax without air bronchograms, abrupt termination of the right mainstem bronchus, and multiple upper right rib fractures.

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Media file 31: 10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. This and the following images (also see Images 32-33) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

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10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. This and the following images (also see Images 32-33) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

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Media file 32: 10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31 and 33) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

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10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31 and 33) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

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Media file 33: 10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31-32) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

[ CLOSE WINDOW ]

10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31-32) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

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Media file 34: 10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. This and the following images (also see Images 35-37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

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10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. This and the following images (also see Images 35-37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

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Media file 35: 10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34 and 36-37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

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10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34 and 36-37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

(Enlarge Image)

Media file 36: 10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34-35 and 37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

[ CLOSE WINDOW ]

10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34-35 and 37) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

(Enlarge Image)

Media file 37: 10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34-36) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

[ CLOSE WINDOW ]

10-mm axial computed tomography (CT) scan of the chest with the mediastinal window settings beginning at the level of the carina. These images (also see Images 34-36) show multiple right rib fractures and a moderate-sized pleural effusion. There is mediastinal shift toward the side of injury. Fluid density is present in the right main bronchus, probably representing hemorrhage.

(Enlarge Image)

Media file 38: 5-mm axial computed tomography (CT) scan image with the lung window settings beginning at the level of the carina. This and the following images (also see Images 39-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

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5-mm axial computed tomography (CT) scan image with the lung window settings beginning at the level of the carina. This and the following images (also see Images 39-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

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Media file 39: 5-mm axial computed tomography (CT) scan images with the lung window settings beginning at the level of the carina. These images (also see Images 38 and 40-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan images with the lung window settings beginning at the level of the carina. These images (also see Images 38 and 40-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

(Enlarge Image)

Media file 40: 5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-39 and 41-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-39 and 41-42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

(Enlarge Image)

Media file 41: 5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-40 and 42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-40 and 42) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

(Enlarge Image)

Media file 42: 5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-41) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the lung window settings beginning at the level of the carina. These images (also see Images 38-41) again demonstrate abrupt termination of the right main bronchus, complete opacification of the right hemithorax with few air bronchograms, subcutaneous emphysema, a moderate-sized anterior pneumothorax, and a pneumomediastinum. Note that the azygos vein is outlined by mediastinal gas. The superior segment of the left lower lobe is atelectatic.

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Media file 43: 5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. This and the following images (also see Images 44-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

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5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. This and the following images (also see Images 44-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

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Media file 44: 5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43 and 45-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43 and 45-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

(Enlarge Image)

Media file 45: 5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-44 and 46-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-44 and 46-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

(Enlarge Image)

Media file 46: 5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-45 and 47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-45 and 47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

(Enlarge Image)

Media file 47: 5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-46) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

[ CLOSE WINDOW ]

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-46) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

More on Tracheobronchial Tear

Overview: Tracheobronchial Tear

Imaging: Tracheobronchial Tear

Follow-up: Tracheobronchial Tear

Multimedia: Tracheobronchial Tear

References

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Keywords

tracheal rupture, bronchial rupture, airway rupture, tracheal laceration, bronchial laceration, airway laceration, tracheal fracture, bronchial fracture, airway fracture, tracheal avulsion, bronchial avulsion, airway avulsion, tracheal injury, bronchial injury, airway injury

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Contributor Information and Disclosures

Author

David W Light IV, MD, Staff Physician, Department of Radiology, Memorial Hermann Memorial City Hospital
David W Light IV, MD is a member of the following medical societies: American Medical Association, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

J Michael Holbert, MD, Associate Professor, Department of Radiology, Scott and White Memorial Hospital and Clinic
J Michael Holbert, MD is a member of the following medical societies: American College of Chest Physicians, American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Mark L Montgomery, MD, Vice Chair of Education, Assistant Professor and Course Coordinator, Department of Radiology, Texas A&M College of Medicine; Consulting Staff, Divisions of Interventional Radiology and Diagnostic Imaging, Scott and White Clinic
Mark L Montgomery, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Medical Association, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey A Miller, MD, Associate Professor of Clinical Radiology, University of Medicine and Dentistry of New Jersey; Associate Chief of Service, Department of Radiology, Veterans Affairs of New Jersey Health Care System
Jeffrey A Miller, MD is a member of the following medical societies: North American Society for Cardiac Imaging, Society for Health Services Research in Radiology, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Eric J Stern, MD, Director of Thoracic Imaging, Professor of Radiology and Medicine, Departments of Radiology and Internal Medicine, Harborview Medical Center, University of Washington School of Medicine
Eric J Stern, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
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eMedicine Specialties > Radiology > Chest

Tracheobronchial Tear: Multimedia

Multimedia

Animated cine images from virtual bronchoscopy (see Images 2-29). The animation begins with a view of the carina and advances distally into the right main bronchus. An obstruction of the right main bronchus is consistent with a bronchial tear.

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 3-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2, 4-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-3 and 5-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-4, 6-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-5, 7-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-6, 8-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-7, 9-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-8, 10-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-9, 11-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-10, 12-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-11, 13-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-12, 14-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-13, 15-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-14, 16-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-15, 17-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-16, 18-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-17, 19-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-18, 20-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-19, 21-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-20, 22-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-21, 23-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-22, 24-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-23, 25-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-24, 26-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-25, 27-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-26, 28-29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-27 and 29).

Cine image from virtual bronchoscopy (see the animation in Image 1, and view the still images in Images 2-28).

Frontal chest radiograph from a 26-year-old man after major trauma. This image shows complete opacification of the right hemithorax without air bronchograms, abrupt termination of the right mainstem bronchus, and multiple upper right rib fractures.

10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31 and 33) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

10-mm axial computed tomography (CT) scan of the chest with the lung window settings beginning at the level of the carina. These images (also see Images 31-32) demonstrate abrupt termination of the right main bronchus and complete opacification of the right hemithorax without air bronchograms.

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. This and the following images (also see Images 44-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43 and 45-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-44 and 46-47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-45 and 47) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

5-mm axial computed tomography (CT) scan with the mediastinal window settings beginning at the level of the carina. These images (also see Images 43-46) show loculated right pleural effusion, longitudinal sternal fracture, and right rib fractures.

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