Caceres’ Corner Case 190 (Update: Solution!)

Dear Friends,

Today I am showing radiographs of a 30-year-old man with a persistent cough. What do you see?

Check the images below, leave your thoughts in the comments section and come back on Friday for the answer.

Click here for the answer





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01
Oct 2018
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DISCUSSION 16 Comments

16 Responses to : Caceres’ Corner Case 190 (Update: Solution!)

  1. Beata says:

    Left lower lobe collapse.

  2. tr says:

    Greetings,
    downward displacement of the right hemidiaphragm and mild shift of the mediastinum to the left; with hyperlucent right lung, all suggest right lung hyperinflation.
    DDX: obstructive bronchial lesion (foreign body, tumor, external compression), bronchiolitis obliterance,… .

    • Jose Caceres says:

      It is an interesting comment. Only problem is that you cannot be sure of your diagnosis unless an expiratory film is obtained 🙂

  3. Fingers crossed says:

    Scimitar sy

    • Jose Caceres says:

      Remember that congenital pulmonary hypoplasia with scimitar vein from a practical point of view only occurs on the right side.
      Uncross your fingers and try again 🙂

  4. Mauro says:

    Hello. I think the right lung is abnormally hyperinflated and there is paucity of the vasculature. My first hypothesis would be Swyer-James.

  5. MK says:

    Hello!!

    The right hemithorax is overinflated and there is left mediastinal displacement towards the left side. A focal increased density next to the right hilum could be a mucus plug … so Congenital bronchial atresia will be a good option…??

  6. aleksandar says:

    left hilar enlargement,trombosis or oclusion of the right pulmonary artery

  7. genchi bari italia says:

    Gentilissimo Prof…..può essere il risultato di una malformazione adenomatoidecistica, la formazione in sede paracardiaca basale dx?Non ti dimentico….

  8. Fingers crossed says:

    The left hemithorax is smaller with ipsilateral mediastinal shift. Also there is a vertical tubular structure seen which most likely represents mucoid impacted bronchi. Could be due to bronchial carcinoid or some other intrabronchial etiology.

  9. Jose Caceres says:

    Good! You reconsidered your diagnosis and came back with the right diagnosis.
    Congratulations!

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