Objective: We report two cases in which spiral CT with three-dimension
al (3D) reconstruction was used to evaluate abnormalities of the trach
ea and bronchi. Materials and Methods: Two patients with known airway
abnormalities, one with a carinal tumor and the other with a postopera
tive bronchial stenosis, had spiral CT of the chest performed. Images
were reconstructed in the coronal plane as well as using a curved plan
ar reformat and shaded surface display. Results: Spiral CT with 3D rec
onstruction provided excellent anatomic definition of the central airw
ay abnormalities. In our two cases the information provided was used i
n both the clinical assessment and treatment planning of the patients.
Conclusion: Spiral CT was useful in the evaluation of two patients wi
th central airway abnormalities. Further investigation into applicatio
ns of spiral CT for the evaluation of the central airways appears warr
anted.