Left upper lobe collapse

Case contributed by Dr Ian Bickle

Presentation

Smoker of substantial number of pack years. Cough and shortness of breath.

Patient Data

Age: 70 years
Gender: Female
X-ray

Volume loss and a veiled like appearance of the left hemithorax.

Left hilar mass.

Right lung clear.

Case Discussion

Classical appearance and presentation of a left upper lobe collapse.

The lobe collapsed anteriorly giving a 'veiled like' appearance to the hemithorax and often as in this case discernable volume loss.

In a smoker, the cause is considered lung cancer until proven otherwise.  It may be apparent on the chest x-ray as in this case with a central obstructing hilar mass.  In other cases CT chest or bronchoscopy reveal a endobronchial mass.

Other less common causes include mucus plugging.

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Case information

rID: 45926
Published: 16th Jun 2016
Last edited: 14th Mar 2019
System: Chest
Inclusion in quiz mode: Included

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