Tracheobronchopathia Osteochondroplastica
Melissa L. Rosado-de-Christenson, MD, FACR
Key Facts
Terminology
Multifocal submucosal osteocartilaginous nodules protruding into airway lumen
Imaging Findings
Multifocal calcified mural nodules of distal trachea and central bronchi
Nodules affect anterior and lateral tracheal walls, spare posterior tracheal wall
May produce airway obstruction
Top Differential Diagnoses
Tracheobronchial Amyloidosis
Tracheal Papillomatosis
Relapsing Polychondritis
Pathology
Multifocal submucosal airway nodules
Clinical Issues
Adults > 50 years; M > F
Asymptomatic; cough, dyspnea, hemoptysis
 Axial NECT of an asymptomatic man with tracheobronchopathia osteochondroplastica shows multifocal calcified mural nodules  on the anterior and lateral tracheal walls that spare the posterior trachea. |
 Coronal NECT images of a patient with tracheopathia osteochondroplastica show multiple small tracheal nodules that produce luminal narrowing  and exhibit calcification  on soft tissue window. |
TERMINOLOGY
Abbreviations and Synonyms
Tracheopathia osteoplastica, tracheopathia osteochondroplastica (TO)
Definitions
