CXR Case 017

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| Top 100 CXR | Google Scholar | ICIS Course ANZ

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