Medical image of the week: right middle lobe syndrome
| Autor: | Elaine Cristan, Linda Snyder |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
CT scan
mediastinal lymph nodes Right middle lobe treatment bronchiectasis lcsh:R5-130.5 business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid lcsh:RC86-88.9 Anatomy respiratory system bronchial constriction right middle lobe syndrome. bronchial obstruction chest x-ray pneumonia symptoms Medicine business lcsh:General works |
| Zdroj: | Southwest Journal of Pulmonary and Critical Care, Vol 12, Iss 5, Pp 199-200 (2016) |
| ISSN: | 2160-6773 |
| DOI: | 10.13175/swjpcc030-16 |
| Popis: | No abstract available. Article truncated at 150 words. A 73 year-old woman, a lifetime non-smoker, presented to the pulmonary clinic with chronic dyspnea on exertion and cough. Physical exam was unremarkable and pulmonary function testing showed normal spirometry. A chest radiograph revealed calcified mediastinal adenopathy and increased density in the right middle lobe region (Figure 1). A computed tomography scan of the chest revealed significant narrowing of the right middle lobe bronchus with partial atelectasis and prominent calcified mediastinal lymphadenopathy (Figure 2). Bronchoscopy showed no endobronchial lesions but there was evidence of extrinsic compression surrounding the right middle lobe orifice. An endobronchial biopsy revealed noncaseating granulomas. Bronchoscopy cultures and cytology were negative and this was presumed to be from a previous infection with histoplasmosis given the patient’s long-term residence in an endemic area. Given chronic narrowing of right middle lobe bronchus with persistent atelectasis of the right middle lobe, the patient was diagnosed with right middle lobe syndrome. ... |
| Databáze: | OpenAIRE |
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