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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    Oct 2018
    DISCUSSION 16 Comments

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

    1. Beata says:

      Left lower lobe collapse.

    2. tr says:

      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:


      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.