55M past-smoker male with PMH of HTN, HLD, Afib embolic CVA, CAD, with obstructing endobronchial lesion referred for EBUS/bronchscopy
Differential diagnosis on CT was ABPA and proximal carcinoma with right upper lobe collapse
Surgical pathology resulted showing RUL SCC, well to moderately differentiated, and LLL benign mucosa
CXR Right Upper Lobe Collapse Squamous Cell Carcinoma
55-year-old male presenting with dyspnea
Frontal CXR shows right upper lobe (RUL) atelectasis characterized by rightward deviation of the trachea elevation of the right hemidiaphragm and opacification of the right upper lobe. Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430
55-year-old male presenting with dyspnea
Lateral CXR confirms atelectasis of the RUL characterized by pie shaped consolidation of the anteriorly position right upper lobe, hyperinflation of the right lower lobe mild elevation of the right hemidiaphragm. Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430
55-year-old male presenting with dyspnea
Frontal CXR shows right upper lobe (RUL) atelectasis characterized by rightward deviation of the trachea elevation of the right hemidiaphragm and opacification of the right upper lobe. The lateral examination confirms atelectasis of the RUL characterized by pie shaped consolidation of the anteriorly position right upper lobe, hyperinflation of the right lower lobe mild elevation of the right hemidiaphragm and anterior displacement of the major fissure.
Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430c
55-year-old male presenting with dyspnea
Frontal CXR shows right upper lobe (RUL) atelectasis characterized by rightward deviation of the trachea elevation of the right hemidiaphragm and opacification of the right upper lobe. The right hemidiaphragm is mildly elevated (a, red arrowhead) The magnified view (b) demonstrates the rightward deviation of the trachea (teal arrowhead).
The lateral examination confirms atelectasis of the RUL characterized by pie shaped consolidation of the anteriorly position right upper lobe, hyperinflation of the right lower lobe mild elevation of the right hemidiaphragm and anterior displacement of the major fissure (pink arrowhead in magnified view d).
Final diagnosis was a central RUL proximal squamous cell carcinoma with extensive filling of the distal bronchi-ectatic segmental and subsegmental airways
Ashley Davidoff TheCommonVein.net 212Lu 136430c
Axial CT – Right Upper Lobe Collapse Central Squamous Cell Carcinoma
Downstream Bronchiectasis
55-year-old male presenting with dyspnea
Axial CT at the level of the carina shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the anteriorly positioned right upper lobe. The major fissure is displaced anteriorly. There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL. Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136432
55-year-old male presenting with dyspnea
Axial CT at the level of the carina shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the anteriorly positioned right upper lobe. The major fissure is displaced anteriorly. There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL. Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136432c
55-year-old male presenting with dyspnea
Axial CT at the level of the carina shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus (b, white arrowhead) resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the anteriorly positioned right upper lobe. The major fissure is displaced anteriorly (a, pink arrowhead). There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL (b, yellow arrowheads). Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136432cL
Coronal CT – Right Upper Lobe Collapse Central Squamous Cell Carcinoma
Downstream Bronchiectasis
55-year-old male presenting with dyspnea
Coronal CT at the level of the trachea and mainstem bronchi, shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the right upper lobe with superiorly displaced major fissure. There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL. Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136433
55-year-old male presenting with dyspnea
Coronal CT at the level of the trachea and mainstem bronchi, shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the right upper lobe with superiorly displaced major fissure. There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL. Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136433c
55-year-old male presenting with dyspnea
Coronal CT at the level of the trachea and mainstem bronchi, shows atelectasis of the RUL caused by a central obstructing lesion in the right upper lobe bronchus (b, white arrowhead) resulting in atelectasis of the RUL characterized by a wedge-shaped consolidation of the right upper lobe with superiorly displaced major fissure (a, pink arrowhead). There is extensive filling of the distal bronchiectatic segmental and subsegmental airways of the RUL (b, yellow arrowheads). Final diagnosis was a central RUL proximal squamous cell carcinoma.
Ashley Davidoff TheCommonVein.net 212Lu 136433cL
Endoscopic image of a central squamous cell carcinoma (SCC) with extensive
Ashley Davidoff TheCommonVein.net 212Lu 136434
Reference number 6176