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