Left upper lobe collapse

Case contributed by Dr Brendon Friesen

Presentation

Cough.

Patient Data

Age: 35 years
Gender: Female
X-ray

Chest

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

CT

Chest

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 lesions.

Case Discussion

Left upper lobe collapse.

Subsequent bronchoscopy shows a pale polypoid endobronchial mass at orifice left upper lobe and discharge of caseous material post-biopsy.

Histology revealed benign stromal elements ? hamartoma. Culture negative to date.

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Case information

rID: 38170
Published: 30th Jul 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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