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British Journal of Radiology (2006) 79, 170-172
© 2006 British Institute of Radiology
doi: 10.1259/bjr/27258284
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Colobronchial fistula: a late complication of childhood radiotherapy

G C MacKay, MRCP, J Howells, MRCP, FRCR and F W Poon, FRCR

Department of Radiology, Glasgow Royal Infirmary, Queen Elizabeth Building, 16 Alexandra Parade, Glasgow G31 2ER, UK


Figure 1
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  		Figure 1. 99Tcm hexamethylpropyleneamineoxime (HMPAO) labelled isotope scan demonstrating high uptake in the right paravertebral region (illustrated by arrow).

 

Figure 2
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  		Figure 2. Fistulous tract of barium arising from proximal transverse colon(arrows delineate the extent of the tract). Marked deformity of the vertebral bodies is noted consistent with previous radiotherapy induced damage.

 

Figure 3
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  		Figure 3. Contrast enhanced CT chest demonstrating a large thick-walled cavity, containing barium and air, within the lower lobe of the right lung. Barium is seen within the right lower lobe bronchial tree.

 

Figure 4
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  		Figure 4. Barium follow-through examination showing a significant duodenal stenosis(illustrated by arrow).

 




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