Left upper lobe collapse

Discussion:

This was a case of first presentation with lung cancer. The patient had a significant smoking history and a recent chest infection which improved on oral antibiotics. Frontal x-ray shows Luftsichel sign, a hyperlucent shadow due to hyperinflation of the superior segment of the left lower lobe between the aorta and collapsed lung. CT scan is important for further evaluation of upper lobe collapse and in this case confirmed the diagnosis.

The patient was sent for bronchoscopy under the respiratory team. Histology: small cell carcinoma

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