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A patchy consolidation at the apical segment of the left lower lobe associated with productive cough
  1. Y-L Chang1,
  2. C-T Wu1,
  3. Y-C Lee2
  1. 1
    Department of Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  2. 2
    Departments of Surgery and Traumatology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
  1. Dr Y-C Lee, National Taiwan University Hospital and National Taiwan University College of Medicine, Roosevelt Road, Taipei, Taiwan; ntuhycl{at}gmail.com

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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 mass neighbouring the left pulmonary artery and descending thoracic aorta with encasement of the bronchi. (C) CT scan with contrast medium showing a highly suspicious feeding artery arising from the descending aorta (arrow).

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Footnotes

  • Competing interests: None.

  • Patient consent: Informed consent was obtained for publication of the person's details and the figures in this report.

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