Right middle lobe collapse: mucous plugging

Case contributed by Dr. Chris O'Donnell

Presentation

Acute cough and wheeze

Patient Data

Age: 11
Gender: Male

Gross middle lobe collapse is associated with a filling defect in the right bronchus intermedius and poor aeration of the bronchi beyond.  Differential is between a foreign body and mucous plug.

Annotated image

Arrow shows filling defect in bronchus.

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