Presentation
Cough.
Patient Data
Age: 35 years
Gender: Female
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Hazy or veiling opacity extending from the left hilum, obscuring the left cardiomediastinal contour, in keeping with left upper lobe collapse. Luftsichel sign demonstrated.
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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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