Finger-in-Glove Sign in Congenital Bronchial Atresia

1Hospital Universitario Central de Asturias (HUCA). Instituto Nacional de Silicosis (INS). Area del Pulmon. Facultad de Medicina. Universidad de Oviedo. Oviedo. Espana; 2Hospital Universitario Central de Asturias (HUCA). Departamento de Radiologia. Oviedo, Espana. Correspondence: Dr Miguel Angel Ariza Prota, Instituto Nacional de Silicosis (INS), Area del Pulmon, Hospital Universitario Central de Asturias (HUCA), Facultad de Medicina, Universidad de Oviedo, Avenida Roma s/n, Oviedo, Asturias 33011, Spain. Telephone 34-69006806, e-mail arizamiguel@hotmail.com A 60-year-old woman was referred to the authors’ hospital in 2012, with a three-month history of nonproductive cough. She had no chest pain, night sweats or fever. She had no known toxic habits, nor surgical or medical background of interest. The chest x-ray showed loss of normal lung markings in the left upper lobe and a rounded, branching opacity mass lesion in the area of the left hilum (finger-in-glove sign) (Figure 1A). A computed tomography scan of the chest showed mucoid impactation, segmental hyperlucency and decreased vascularity of the left upper lobe (Figure 1B). Three-dimensional reconstruction of the bronchial tree revealed an atretic apicoposterior segmental bronchus of the left upper lobe confirming the diagnosis of congenital bronchial atresia (Figure 1C).