Presentation
Chronic cough.
Patient Data
Age: 80 years
Gender: Female
From the case:
Cicatricial atelectasis right middle lobe
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Pulmonary hyperinflation, right middle lobe atelectasis. No edema, pneumonia or pleural effusion.
From the case:
Cicatricial atelectasis right middle lobe
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Moderate centrilobular emphysema, small scattered and "tree in bud" nodules. Right middle lobe atelectasis with patent bronchi, indicating cicatricial atelectasis.
Case Discussion
Atelectasis is the term used to describe deflated lung. There are multiple different causes of atelectasis but in the absence of endobronchial obstruction, surfactant deficiency, pneumothorax, or an adjacent space-occupying lesion compressing the lung, the most likely cause is scarring. Atelectasis due to scarring is called cicatricial or cicatrisation atelectasis and is often due to prior infection, especially mycobacterial.
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