Presentation
SOB and hemoptysis
Patient Data
Age: 55 years
Gender: Female
From the case:
Tracheal and endobronchial malignant melanoma
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Frontal
There is complete collapse of the left lower lobe. There is significant mediastinal shift to the left.
From the case:
Tracheal and endobronchial malignant melanoma
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Axial C+ arterial phase
There is a rounded soft tissue mass in the lower trachea. There is extensive soft tissue occluding the left main bronchus with soft tissue extending distally into multiple lower lobe airways. There are no other significant findings.
Case Discussion
Benign causes of an endobronchial mass include foreign bodies, especially in children.
Benign adult causes include foreign body, tracheal polyps, papillomas and mucous plugs.
Malignant causes are primary bronchogenic carcinoma and endobronchial metastases which are far less common.
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