Presentation
3 month history of cough. Sudden onset worsening of shortness of breath today.
Patient Data
Veil like opacification throughout the left hemithorax, associated with volume loss (uplifting of left hemidiaphragm, left sided rib crowding and leftward mediastinal shift). Findings are characteristic of left upper lobe collapse.
Left upper lobe collapse due to central obstructing mass. This low density mass abuts mediastinum with invasion. Left hilar nodes are present, along with bilateral mediastinal nodes which upstage the lesion to stage IV.
Case Discussion
Typical findings in a left upper lobe collapse. It is important to exclude an obstructing central lesion, and therefore the CT was performed which shows exactly this.