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A bronchoscopy is a medical procedure that involves the examination of the airways and lungs using a bronchoscope, which can be either rigid or flexible. This procedure may be performed with or without the assistance of fluoroscopic guidance, which utilizes real-time imaging to enhance visualization during the examination. The bronchoscope is inserted through the patient's nose or mouth and is carefully advanced into the oropharynx, allowing for a thorough examination of the vocal cords and trachea. The bronchoscope is then further advanced into the right and left mainstem bronchi, where any abnormalities can be identified and documented. In cases where a rigid bronchoscope is utilized, a telescope or flexible bronchoscope may be introduced through the rigid device to facilitate visualization of the distal segments of each mainstem bronchus. The procedure may also include the collection of cell samples through brushing or protected brushings, which are critical for cytological analysis. These samples are subsequently sent to a laboratory for examination, aiding in the diagnosis of various pulmonary conditions. The bronchoscope is then carefully withdrawn after the procedure is completed.
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