Round atelectasis

Case contributed by Dr Amr Farouk

Presentation

Long-standing history of chest symptoms including cough and expectoration.

Patient Data

Age: 60 years
Gender: Male
CT

Decreased left lower lobe lung volume with a rounded soft tissue density adjacent to a pleural surface with associated pleural thickening, bilateral pleural effusions and bilateral calcific pleural plaques. The rounded soft tissue density is seen pulling the related bronchovascular bundles giving the shape of a comet tail.

Case Discussion

The constellation of the decreased left lower lobe lung volume, rounded soft tissue density adjacent to a pleural surface with associated pleural disease (pleural thickening, bilateral pleural effusions and bilateral calcific pleural plaques) and comet tail appearance of the pulled related bronchovascular bundles are diagnostic of round atelectasis.

Core biopsy was done from the lesion with the microscopic picture showing fibrosis, chronic inflammatory reaction and no malignant cells.

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Case information

rID: 55952
Case created: 2nd Oct 2017
Last edited: 12th Oct 2017
Systems: Chest, Oncology
Inclusion in quiz mode: Included
Institution: National cancer institute, Cairo, Egypt

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