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October 14, 1922


JAMA. 1922;79(16):1311-1314. doi:10.1001/jama.1922.02640160031010

Broncholithiasis is described in the literature under various designations. It has been called pulmonary lithiasis, and the concretions which are its characteristic product are referred to as lung calculi, pneumoliths, lung stones and broncholiths. The clinical manifestations accompanying the expulsion of these concretions constitute what is known as stone asthma or bronchial colic.

The literature is surprisingly meager, in view of the fact that the condition has been recognized for centuries and is probably not so rare as might appear from the infrequent references. Casual testimony of its occurrence as a clinical incident is not uncommon in discussions on the subject.

Roentgenograms of the chest frequently reveal more or less circumscribed nodular shadows, usually located at the hilum of the lung, which are considered to be calcified peribronchial glands. Calcified nodules in the lungs and adjacent structures are also encountered at necropsy. In interpreting the presence of these nodules, it

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