Bronchial atresia associated with epibronchial right pulmonary artery and aberrant right middle lobe artery.
We report a case of bronchial atresia associated with an epibronchial right pulmonary artery (ERPA) and an aberrant right middle lobe artery (ARMLA). CT showed a branching opacity, which was hyperintense on MR images, in the anterior segment of the right upper lobe with segmental hyperinflation and the ERPA. At surgery, the ARMLA was found to originate from the ERPA, crossing the anterior aspect of the right upper lobe bronchus. It is postulated that the ARMLA might have interfered with the normal bronchial development, leading to the development of segmental bronchial atresia.