Right upper lobe segmental collapse

Case contributed by Dr Nolan Walker

Presentation

Increasingly short of breath on exertion

Patient Data

Age: 75
Modality: X-ray

Volume loss in the right upper lobe and increased density and thickening of  the paratracheal stripe.

This is an AP projection, however these signs are still visible.

The patient was admitted for bronchial stenting and the post bronchial stenting film is included for interest.

Modality: CT

CT study reveals tumour encasing the right main bronchus, with invasion of the right upper lobe bronchus and resultant collapse of the medial segments of the right upper lobe.

The coronal lungs windows illustrate the bronchial collapse and right upper lobe bronchus invasion well.

Case Discussion

Despite being an AP erect chest x-ray, analysis of the mediastinum is important.

Segmental right upper lobe collapse secondary to a lung cancer which invades the right upper lobe bronchus.

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Case Information

rID: 38851
Case created: 7th Aug 2015
Last edited: 17th Feb 2017
System: Chest
Inclusion in quiz mode: Included

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