Left upper lobe collapse

Case contributed by Dr Abdallah Khateeb

Presentation

Cough and haemoptysis. Heavy smoker.

Patient Data

Age: 62 years old
Gender: Male
X-ray

Increased opacity overlying the left upper and middle zones of the left hemithorax.

Left side volume loss.

Linear vertical lucency outlining the aortic arch and the lateral border of the descending aorta.

Upward migration and peaking of the left hemidiaphragm.

Leftward deviation of the trachea.

 

CT

Large left hilar soft tissue mass causing total obstruction of the left upper lobe bronchus near its origin, with resulting left upper lobe collapse. 

Case Discussion

The frontal X-ray in this case shows features of left upper lobe collapse. It shows nicely the Luftsichel sign and the juxtaphrenic peak sign. CT scan usually helps identify the cause of lobar collapse and the central mass seen in this case explains the collapse, and is most likely lung cancer.

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Case information

rID: 53502
Case created: 21st May 2017
Last edited: 5th Aug 2017
System: Chest
Inclusion in quiz mode: Included

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