67 year old male presents with shortness of breath, cough and significant weight loss. He had a bronchoscpy the following day.
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Describe and interpret this CXR and subsequent bronchoscopy
CHEST X-RAY INTERPRETATION
There is volume loss in the right hemithorax with collapse of the right upper lobe.
*There is patchy consolidation in the right lower and middle lobes*
Bronchoscopy reveals a large obstructing polypoid mass in the right main bronchus.
The tumour was snared and removed using cautery – its origin was from the right upper lobe.
*The patchy consolidation in the lower and middle lobes is from post-obstructive pneumonia.*
Many endobronchial tumours are benign (e.g. hamartoma), although squamous cell cancer or carcinoid are frequently found.