Right upper lobectomy

Case contributed by Assoc Prof Craig Hacking

Presentation

Cough and chest pain.

Patient Data

Age: 55 years
Gender: Male

Post-surgical and post-radiation change with a surgical clip in the right hilar region is stable in appearance compared to prior imaging. Features of volume loss in keeping with right upper lobectomy including elevation of the hilum and diaphragm. The horizontal fissure curves superiorly. Prominent left pericardial fat pad. No pleural effusion or pneumothorax. Cardiomediastinal contours are normal. No concerning osseous lesions or displaced fractures.

Case Discussion

This CXR shows the typical features of right upper lobectomy. The patient had a history of lung cancer treated with lobectomy and radiotherapy.

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