Left upper lobe collapse

Case contributed by Aneta Kecler-Pietrzyk
Diagnosis certain

Presentation

Shortness of breath. Background history of Intravenous drugs dependancy.

Patient Data

Age: 40 years
Gender: Female
x-ray

Relative faint hypolucency of the left hemithorax (veil like) when compared to right with upward traction of the left hilum and minor loss of volume. Appearances are suspicious for left upper lobe collapse.

ct

Left upper lobe collapse.

Case Discussion

The case shows very subtle changes (veil-like opacity) on chest radiograph secondary to left upper lobe collapse.

BAL (bronchoalveolar lavage) was performed and histopathology showed mucopurulent material. 

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