RT Journal A1 Fairshter RD, Riley CA, Hewlett RI T1 LArge bronchial casts JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1979 FD May 1 VO 139 IS 5 SP 522 OP 525 DO 10.1001/archinte.1979.03630420018009 UL http://dx.doi.org/10.1001/archinte.1979.03630420018009 AB Unusually large bronchial casts developed in four patients. In two, the casts were associated with pneumonia. In one, a large RBC cast resulted from a complication of fiberoptic bronchoscopy. Bronchial casts developed in an additional patient as a manifestation of plastic bronchitis. Although unusual, bronchial cast formation may complicate a number of hypersecretory pulmonary diseases. Therapy ordinarily includes specific measures to treat the underlying disease state and maneuvers designed to remove or facilitate the expectoration of bronchial casts.(Arch Intern Med 139:522-525, 1979)