Non-infected and Infected Bronchogenic Cyst: The Correlation of Image Findings with Cyst Content

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(Jeon Hong-Gil) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology
¹ÚÁÖȯ(Park Ju-Hwan) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology
¹ÚÇý¹Î(Park Hye-Min) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology
±Ç¿îÁ¤(Kwon Woon-Jung) - University of Ulsan College of Medicine Ulsan University Hospital Department of Radiology
Â÷ÈñÁ¤(Cha Hee-Jeong) - University of Ulsan College of Medicine Ulsan University Hospital Department of Pathology
ÀÌ¿µÁ÷(Lee Young-Jik) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
¹Úâ·ü(Park Chang-Ryul) - University of Ulsan College of Medicine Ulsan University Hospital Department of Thoracic and Cardiovascular Surgery
Á¦°¥¾çÁø(Jegal Yang-Jin) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology
¾ÈÁ¾ÁØ(Ahn Jong-Joon) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology
³ª½Â¿ø(Ra Seung-Won) - University of Ulsan College of Medicine Ulsan University Hospital Department of Internal Medicine Division of Cardiology

Abstract

We hereby report a case on bronchogenic cyst which is initially non-infected, then becomes infected after bronchoscopic ultrasound (US)-guided transesophageal fine-needle aspiration (FNA). The non-infected bronchogenic cyst appears to be filled with relatively echogenic materials on US, and the aspirate is a whitish jelly-like fluid. Upon contrast-enhanced MRI of the infected bronchogenic cyst, a T1-weighted image shows low signal intensity and a T2-weighted image shows high signal intensity, with no enhancements of the cyst contents, but enhancements of the thickened cystic wall. The patient then undergo video-assisted thoracic surgery 14 days after the FNA. The cystic mass is known to be completely removed, and the aspirate is yellowish and purulent. To understand the image findings that pertain to the gross appearance of the cyst contents will help to diagnose bronchogenic cysts in the future.

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Bronchogenic Cyst, Ultrasonography, Magnetic Resonance Imaging, Infection
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