Bronchial carcinoid tumor

Case contributed by Irvine Sihlahla
Diagnosis certain

Presentation

Shortness of breath, cough for 4 months but no constitutional symptoms

Patient Data

Age: 30 years
Gender: Female
x-ray
Frontal
Lateral
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Info

Left hemithorax volume loss with a tracheal shift to the left, elevated gastric bubble and rib crowding. Non-visualization of left hemidiaphragm outline with complete white out of the left lung and abrupt cut-off of the left mainstem bronchus. No calcification or rib destruction was noted.

ct
CT
Scout
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial lung
window
This study is a stack
Coronal C+
arterial phase
This study is a stack
Sagittal C+
arterial phase
This study is a stack
Coronal
lung window
This study is a stack
Sagittal
lung window
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Info

Large avidly enhancing endobronchial mass in the proximal left mainstem bronchus with distal atelectasis and hypodense bronchoceles distally. The centrally located mass has no cavitation or foci of calcification. Associated left hemithorax volume loss as evidenced by mediastinal shift, the elevation of hemidiaphragm and rib crowding. Small left pleural effusion. No hepatic or adrenal lesion.

MinIP static images

ct
Coronal
lung window
Axial lung
window
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Info

Minimum intensity projection (MinIP) axial and coronal view images showing the endobronchial lesion with an abrupt truncation of the left mainstem bronchus, distal atelectasis and mediastinal shift to the left.

Case Discussion

The patient had a surgical lobectomy and histopathological confirmation of a typical carcinoid tumor. Differential diagnoses would include hypervascular endobronchial metastasis which is rare.

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