case_images: PMC10799248_01
case_images: Chest CT findings of severe PE with stenosis of the right main bronchus. The right main bronchus was severely narrowed with a HI (HI) of 8.9 (arrow).
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case_images: Symmetrical depression with a Haller Index (HI) of 8.9 and stenosis of the right main bronchus were observed at the same site (Fig. 1).
case_images: CT scans are used to monitor changes over time. In (A), chest CT findings of severe PE with stenosis of the right main bronchus. The trachea, which was centrally located on CT scan 8 years ago (2B), has shifted to the left now (2A). Additionally, the CT-HI worsened over his 8 years, increasing from 6.8 to 8.9.
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case_images: The chest CT taken over 8 years indicated that the leftward deviation of the trachea had progressed and the thoracic depression had worsened (Fig. 2).
case_images: Pre- (A) and postoperative (B) CT findings: the Nuss procedure improved the chest wall and right main bronchus stenosis, and reduced HI from 8.9 to 4.6.
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case_images: Fig. 3B) and right main bronchial stenosis (Fig. 4B). Furthermore, shortness of breath was relieved postoperatively.
case_images: Pre- (A) and postoperative (B) bronchoscopic findings. Preoperatively, the right main bronchus is severely stenotic (A). The stenosis of the right main bronchus improves after performing the Nuss procedure (B).
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case_images: Intraluminal observation using a bronchoscopy revealed severe stenosis of the right main bronchus, making peripheral observation challenging (Fig. 4A).