67 year old male presents with shortness of breath, cough and significant weight loss. He had a bronchoscpy the following day.
click images to enlarge
Describe and interpret this CXR and subsequent bronchoscopy
CHEST X-RAY INTERPRETATION
CXR:
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:
Bronchoscopy reveals a large obstructing polypoid mass in the right main bronchus.
CLINICAL CORRELATION
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.*
CLINICAL PEARLS
Many endobronchial tumours are benign (e.g. hamartoma), although squamous cell cancer or carcinoid are frequently found.
TOP 150 CXR SERIES
Prof Fraser Brims Curtin Medical School, acute and respiratory medicine specialist, immediate care in sport doc, ex-Royal Navy, academic
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