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Mucoepidermoid carcinoma in a patient with congenital agenesis of the left upper lobe

Department of Radiology, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK

View larger version (149K): [in a new window]   Figure 1. Posteroanterior chest radiograph showing reduced volume in the left hemithorax with collapse of the left lower lobe.

View larger version (85K): [in a new window]   Figure 2. Helical CT of the thorax: (a) Lung windows demonstrating marked left mediastinal shift and hyperinflation of the right upper lobe into the left upper hemithorax. Cavitation is seen in the collapsed left lower lobe. Mediastinal windows displaying (b) the small left pulmonary artery (long arrow) and (c) calcification in the left lower lobe (short arrow), possibly within the tumour.

View larger version (129K): [in a new window]   Figure 3. Bronchographic bronchography with iotrolan 300 showing bronchiectasis of the posterior basal segment of left lower lobe (arrow heads) and non-filling of the remaining segmental bronchi due to endobronchial tumour (arrow). There was no evidence of upper lobe bronchi.