Left lower lobe collapse

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Increasing shortness of breath and cough.

Patient Data

Age: 65 years
Gender: Female
x-ray

Pacemaker.

Triangular density behind the left side of the heart.  The left hilum is inferiorly displaced.

Mild cardiomegaly.

Right lung clear.

Case Discussion

A typical example of a tight left lower lobe collapse.

In a smoker, this should be considered to be due to an obstructing lung malignancy until proven otherwise with CT chest and bronchoscopy.

 

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