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A previously healthy 68-year-old woman presented with a 2-week history of cough with worsening shortness of breath despite a course of oral antibiotics. Examination revealed bronchial breathing over the right axillary region. CT imaging showed right middle and right lower lobe consolidation with an associated interbronchial fistula just below the carina (figure 1). Owing to negative sputum cultures and a lack of response to broad spectrum antibiotics, she underwent bronchoscopy which confirmed the presence of the interbronchial-fistula (figure 2) and bronchoscopic lavage thus obtained …
Collaborators Dr Surabhi Vyas from the Dept. of Radiology helped in the interpretation of the CT images and helped characterize the fistulous tract.
Contributors SK: assisted in bronchoscopy, preparation of manuscript and retrieval of images; NKMS: involved in the initial workup and management; MS: involved in the workup and management; AR: performed bronchoscopy, oversaw preparation of manuscript and decided on final submission
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.