Presentation
Chest pain and worsening SOB. Known chest malignancy.
Patient Data
Confluent opacity in the right lung base has markedly increased since the previous study last month with the appearance of airspace consolidation along with right lower lobe collapse. Opacity from the known perihilar right upper lobe mass has also increased. Rightward displacement of the trachea with new transverse luminal narrowing. The right main bronchus is not visible. The left lung is clear. Heart size can't be determined. Mild scoliosis.
1mth later post bronch stent
Tracheobronchial stent in situ. Re-expansion of the right-sided collapse. The large right paratracheal superior mediastinal mass projecting over the right upper lobe is unchanged from the CT a week earlier. Prominent right pericardial fat pad.
Case Discussion
The patient had stage III primary bronchogenic SCC of the right upper lobe with mediastinal invasion. The first CXR one month earlier shows the extent of tracheal compression by the malignancy prior to bronchoscopic stenting.
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