Left upper lobe collapse

Case contributed by Dr Brendon Friesen

Presentation

Cough

Patient Data

Age: 33
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.

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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