Right middle and lower lobe collapse, secondary to endobronchial non-small cell lung cancer

Case contributed by Dr Nolan Walker

Presentation

Persistent cough. Smoker.

Patient Data

Age: 75 years
Gender: Female

Middle and right lower lobe collapse, volume loss and a mass at the right hilum. The right heart border is abnormal.

Previous chest x-rays. 

CT study confirms complete collapse of the middle and right lower lobe with low attenuation mucus seen to plug the airways. There is a mass obstructing the proximal right lower lobe bronchus.

The sagittal sections on lung windows make identification of the fissures very simple and therefore aid identification of the exact collapsed lobe.

Note also the widespread emphysematous changes secondary to smoking.

Case Discussion

This is a classic case of a middle and right lower lobe collapse secondary to an endobronchial mass. The CT confirms the findings but all the signs are in fact visible on the chest x-ray. Biopsy confirmed non-small cell lung cancer as the cause. 

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Case information

rID: 38691
Published: 30th Aug 2017
Last edited: 16th Jul 2018
System: Chest
Inclusion in quiz mode: Included

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