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Left upper lobe collapse

Case contributed by Brendon Friesen
Diagnosis certain

Presentation

Cough.

Patient Data

Age: 35 years
Gender: Female

Chest

x-ray

Hazy or veiling opacity extending from the left hilum, obscuring the left cardiomediastinal contour, in keeping with left upper lobe collapse. Luftsichel sign demonstrated.

Chest

ct

CT confirms left upper lobe collapse, with apparent "cut-off" of the left upper lobe bronchus, which could be due to mucous plugging or other endobronchial lesions.

Case Discussion

Left upper lobe collapse.

Subsequent bronchoscopy shows a pale polypoid endobronchial mass at orifice left upper lobe and discharge of caseous material post-biopsy.

Histology revealed benign stromal elements ? hamartoma. Culture negative to date.

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