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Left lower lobe collapse

Case contributed by Jeremy Jones
Diagnosis certain

Presentation

Increased work of breathing and cough for 3 days.

Patient Data

Age: 5 years
Gender: Male
x-ray

There is a dense opacity behind the heart, adjacent to the mediastinum. This represents tight collapse of the left lower lobe.

Case Discussion

Features here are of left lower lobe collapse. In a child, the differential should include mucous plug and aspirated foreign body as well as much less common intrinsic and compressive pathology.

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