Anterior bronchus sign

Changed by Daniel J Bell, 16 Oct 2017

Updates to Article Attributes

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The anterior bronchus sign refers to the appearance of the anterior segmental bronchus of the upper lobes as seen on a frontal chest radiograph.

Normal anatomy

The anterior segment bronchus of the upper lobes courses anteriorly and laterally. When the orientation is predominantly anteriorly the bronchus is seen end on as a ring shadow. This occurs in approximately 50~50% of the time.

Upper limit inof the adjacent soft tissue thickness

Normally there is at most 3 mm of soft tissue lateral to the bronchus. Presence of more than 6 mm of soft tissue implies the presences of a mass, and warrants cross-sectional imaging.

  • -<p>The <strong>anterior bronchus sign</strong> refers to the appearance of the anterior segmental bronchus of the upper lobes as seen on a frontal chest radiograph. </p><h4>Normal anatomy</h4><p>The anterior segment bronchus of the upper lobes courses anteriorly and laterally. When the orientation is predominantly anteriorly the bronchus is seen end on as a ring shadow. This occurs in approximately 50% of the time. </p><h4>Upper limit in adjacent soft tissue thickness</h4><p>Normally there is at most <strong>3 </strong>mm of soft tissue lateral to the bronchus. Presence of more than <strong>6 </strong>mm of soft tissue implies the presences of a mass, and warrants cross-sectional imaging. </p>
  • +<p>The <strong>anterior bronchus sign</strong> refers to the appearance of the anterior segmental bronchus of the upper lobes as seen on a frontal chest radiograph.</p><h4>Normal anatomy</h4><p>The anterior segment bronchus of the upper lobes courses anteriorly and laterally. When the orientation is predominantly anteriorly the bronchus is seen end on as a ring shadow. This occurs ~50% of the time.</p><h4>Upper limit of the adjacent soft tissue thickness</h4><p>Normally there is at most <strong>3 </strong>mm of soft tissue lateral to the bronchus. Presence of more than <strong>6 </strong>mm of soft tissue implies the presences of a mass, and warrants cross-sectional imaging.</p>

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