MISCELLANEOUS
Pulmonary puzzle
A patchy consolidation at the apical segment of the left lower lobe associated with productive cough
1 Department of Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
2 Departments of Surgery and Traumatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
Correspondence to:
Dr Y-C Lee, National Taiwan University Hospital and National Taiwan University College of Medicine, Roosevelt Road, Taipei, Taiwan; ntuhycl@gmail.com
| The first 150 words of the full text of this article appear below. |
CLINICAL PRESENTATION
A 65-year-old female non-smoker had a 3-month history of productive cough and intermittent haemoptysis for 1 month. Plain chest radiography showed a mass-like shadow at the medial side of the left lower lung field (fig 1A). A CT scan showed a left lower lobe mass with heterogeneous content neighbouring the left pulmonary artery and descending thoracic aorta, with encasement of the superior and basal posterior segments of the bronchi (fig 1B). A CT scan with contrast medium revealed a highly suspicious feeding artery arising from the descending aorta (fig 1C). Bronchoscopy demonstrated narrowing of the orifice of left B6 and B10 but sputum and washing/brushing cytology were all negative. The CT-guided biopsy specimen had few atypical cells, but a repeat ultrasound-guided biopsy specimen showed chronic inflammation.
Figure 1 (A) Chest radiograph showing left lower lobe consolidation. (B) CT scan revealing a left lower lobe | |||||||||
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
Relevant Articles
- Airwaves
- Wisia Wedzicha
Thorax 2008 63: 571.[Extract] [Full Text] [PDF]
-
Answer
Thorax 2008 63: 648.[Extract] [Full Text] [PDF]
Services
- Email this link to a friend
- Similar articles in this journal
- Similar articles in PubMed
- Add article to my folders
- Download to citation manager
- Request Permissions
Citing Articles
Google Scholar
PubMed
Topic Collections
Bookmark with
Register for free content
The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.
Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.
