Question:hard
The finger-in-glove sign is seen in
The finger-in-glove sign is seen in
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Branching mucus-filled dilated bronchi resembling gloved fingers - think mucoid impaction.
Updated On: Jun 24, 2026
- Pulmonary alveolar proteinosis
- Pneumocystis carinii
- Tuberculosis
- Bronchocele
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The Correct Option is D
Solution and Explanation
Step 1: The phrase finger-in-glove describes branching, tube-like opacities on a chest film that look like the fingers of a glove. These are mucus-filled, dilated bronchi.
Step 2: This pattern is the hallmark of a bronchocele - mucoid impaction inside an obstructed or dilated airway. Classic settings are allergic bronchopulmonary aspergillosis, asthma, cystic fibrosis, and obstruction by a tumour such as a carcinoid or hamartoma.
Step 3: Differentiating it from the distractors - alveolar proteinosis is recognised by crazy-paving, Pneumocystis by diffuse ground-glass haze, and tuberculosis by cavities and apical scarring. The gloved-finger shadow does not belong to any of these.
Step 4: Thus the sign points to a bronchocele.
\[\boxed{\text{Bronchocele}}\]
Step 2: This pattern is the hallmark of a bronchocele - mucoid impaction inside an obstructed or dilated airway. Classic settings are allergic bronchopulmonary aspergillosis, asthma, cystic fibrosis, and obstruction by a tumour such as a carcinoid or hamartoma.
Step 3: Differentiating it from the distractors - alveolar proteinosis is recognised by crazy-paving, Pneumocystis by diffuse ground-glass haze, and tuberculosis by cavities and apical scarring. The gloved-finger shadow does not belong to any of these.
Step 4: Thus the sign points to a bronchocele.
\[\boxed{\text{Bronchocele}}\]
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