Q. What does the hole in my lungs indicate?

Answered by
Dr. Muhammad Zubayer Alam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Feb 22, 2022

Hello doctor,

I have had a chronic cough for three months. I am worried as something is partially obscuring my airway. Why do I have holes in my lungs? I have a photo of this to show. The hole is tiny, approximately half a centimeter. Is this normal?



Welcome to

I can understand your concern. According to your statement, you have been suffering from a cough for the last three months. You have recently undergone bronchoscopy, and you want to know about the arrow-marked hole of your bronchoscopy picture (attachment removed to protect the patient's identity).

According to it, along with the main bronchus, the marked arrow portion may be accessory bronchi. If the marked arrow portion is accessory bronchi, it may be a normal variant.

For further confirmation, you can undergo an MRI (magnetic resonance imaging) of the lung or consult with the doctor who has done this bronchoscopic procedure. But for the history of chronic cough, CXR (chest x-ray) and HRCT (high-resolution computed tomography) of the chest can be done to exclude any respiratory causes. If you have not undergone those tests yet, then you should do for excluding the cause of the problem.

Take care.

Hello doctor,

Thanks for your suggestion.

That is an actual hole in my lung. I have no idea how it happened. Also, my bronchoscopy shows a few white patches. Could it be plastic bronchitis?



Welcome back to

Plastic bronchitis is a rare disorder in which lymphatic fluid cannot come from the lungs and develop branching bronchial casts that may obstruct the airways. The casts consist of mucus and various cellular elements that are soft and rubbery. The symptoms of Plastic bronchitis are chronic dry or wet cough and sometimes respiratory distress.

Plastic bronchitis can be diagnosed with CAT scan (computed tomography) and DCMRL (dynamic contrast-enhanced magnetic resonance lymphangiography). DCMRL is a study that helps detect lymph leakage in the lungs.

According to the pictures, the marked arrow portion may be accessory bronchi, and then it will be a normal variant (attachment removed to protect the patient's identity). But if the hole is derived from any pathological conditions, it may be the leakage area of lymph. White patches shown on the pictures may be mucus or other things like lymph or casts.

As I have already mentioned, plastic bronchitis is a rare pulmonary condition, so without CAT Scan and DCMRL, it is challenging to predict or confirm any diagnosis. Again, in the case of lung function tests, it will show a restrictive pattern.

Nothing is confirmed yet. So, do not be worried. And in the case of plastic bronchitis, treatments are available.

Take care. Let me know if I can assist you further.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Bronchitis vs. Pneumonia - Causes, Symptoms, Diagnoses, Treatments, and Prevention

Pulmonary function test - This test checks for signs of asthma and emphysema ... Anti-inflammatory - If you have COPD or asthma, your doctor might prescribe anti-inflammatory medicines to reduce the inflammation of your airway ......   Read full

I am suffering from bronchitis, asthma, piles, and hyperacidity. Kindly help.

Hello doctor,I am 26 years old and suffering from bronchitis, asthma, piles, and hyperacidity at the same time ... For asthma, spirometry should be done to assess the severity and further management plan ......   Read full

I have chronic cough with breathlessness problem. Please suggest treatment.

Again, COPD (chronic obstructive pulmonary disease) includes chronic bronchitis along with emphysema ... So, my probable diagnosis is COPD ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Pulmonologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.