Recurrence of bronchogenic carcinoma after pneumonectomy

Case contributed by Faeze Salahshour
Diagnosis almost certain

Presentation

The patient has a history of the right pneumonectomy1 year ago now comes with dyspnea.

Patient Data

Age: 60 years
Gender: Male

Evidence of pneumonectomy is noted on the right side as fluid in the pneumonectomy cavity and ipsilateral mediastinal shift. Irregular wall thickening of residual right main bronchus stump is seen, suggestive of tumoral recurrence, with extension to the carina and distal right tracheal wall.

The yellow arrow points to the thickened irregular right main bronchus.

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