Presentation
Shortness of breath.
Patient Data





Axial CT scan (lung and mediastinal windows) shows a collapsed trachea with a decrease in the AP diameter involving the intra-thoracic part of the trachea. Segmental left lower lobe passive collapse that is related to the pericardial fat pad was noticed.
Case Discussion
This patient sent for CT scan as a patch of consolidation seen in the left lower zone of the frontal CXR that seem to be related to the prominent fat pad. The scan, for a moment of good luck, taken in the expiration so the finding of tracheomalacia became more obvious. Tracheomalacia is still either incidental or the cause of the dyspnea.