Left upper lobe collapse

Case contributed by Dr Brendon Friesen

Presentation

Cough

Patient Data

Age: 33
Modality: X-ray

Hazy or veiling opacity extending from left hilum, obscuring the left cardiomediastinal contour, in keeping with left upper lobe collapse. Luftsichel sign demonstrated.

Modality: CT

CT confirms left upper lobe collapse, with apparent "cut-off" of the left upper lobe bronchus, which could be due to mucous plugging or other endobronchial lesion.

Case Discussion

Left upper lobe collapse.

Subsequent bronchoscopy:

  • Pale polypoid endobronchial mass at orifice left upper lobe. Discharge of caseous material post biopsy.

Histology:

  • Benign stromal elements. ?Hamartoma.
  • Culture negative to date.
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Case Information

rID: 38170
Case created: 9th Jul 2015
Last edited: 29th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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