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History:

62 y/o woman who complains of two-week history of cough and hemoptysis.

Exam:

Not Provided

Image Findings:

CXR (17 DEC 01):

On the frontal view there is left retrocardiac density, which obscures the descending thoracic aorta. Additionally the left mainstem bronchus and left hilar structures are inferiorly displaced. Band-like density adjacent to left heart border is consistent with plate atelectasis.

On the lateral view there is ill-defined density overlying the lower thoracic vertebrae with obscuration of the posterior left hemidiaphragm. The posterior wall of the bronchus intermedius lies anterior to the left mainstem bronchus.

CXR (30 JAN 02):

Frontal and lateral views demonstrate resolution of left lower lobe collapse and lingular plate atelectasis.

CT (05 MAR 02):

Not shown. Study was normal with no evidence of tracheal or bronchial abnormalities.

Actual Diagnosis:

LEFT LOWER LOBE COLLAPSE

Patient Discussion:

In the abscence of causitive lesion on the CT scan the cause of the left lower lobe atelectasis is felt to be on the basis of mucus plugging