Presentation
Left pleuritic chest pain for 4 days ?pneumothorax
Patient Data
Age: 35 years
Gender: Male
From the case:
Apical segment left lower lobe consolidation
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Frontal

Bulky appearance to the left superior hilar region on the PA image with subtle increased density in the expected location of the left lower lobe apical segment on the lateral image. Appearance is most in keeping with left lower lobe apical segment consolidation. No pneumothorax.
Case Discussion
Fairly typical appearance of apical segment left lower lobe consolidation creating a bulky appearance to the left hilum on a PA image.