1992 Volume 14 Issue 2 Pages 147-151
A 70-year-old woman was admitted to our hospital because of dyspnea, cough and bilateral pleural effusion. Tuberculosis bacilli were isolated from her sputum. Bronchoscopic examination revealed three major findings, the first being many small nodular projections from the upper tracheal wall to bilateral major bronchi, diagnosed as tracheobronchopathia osteochondroplastica (TBO), the second being a gray broncholith at the orifice of the left upper lobe bronchus, and the third was circular stenosis at the orifice of the right middle lobe bronchus, which indicated bronchial tuberculosis. TBO is rarely accompanied by broncholithiasis or bronchial tuberculosis. The broncholith was thought to be caused by perforation by an old calcified hilar lymph node. It remains unknown whether there was any etiological association between TBO and the other two airway lesions.
