case_images: PMC11268966_01
case_images: (a-d) CT scan of the chest demonstrating a large subcarinal mass encasing the right middle lobe bronchus. (c) Subtle perforation just distal to the right middle lobe orifice.
case_images: CRIPU2024-8850287.001.jpg
case_images: PMC11268966_01_CRIPU2024-8850287.001.jpg
case_images: fig1
case_images: (a-d) Fiberoptic bronchoscopy of the right middle lobar bronchus revealing a bronchial erosion with ulcerated borders and mucinous material along a thin, fibrinous membrane-like structure. (a) Orifice of the right middle lobe with the lateral (RB4) and medial (RB5) airways visualized distally.
case_images: CRIPU2024-8850287.002.jpg
case_images: PMC11268966_01_CRIPU2024-8850287.002.jpg
case_images: fig2
case_images: Airway inspection revealed erosive inflammation with near-perforation of the medial portion of the right middle lobar bronchus, approximately 1 cm distal to the bronchus origin, with ulcerated borders and mucinous material along a thin, fibrinous membrane-like structure (Figures 2(a), 2(b), 2(c), and 2(d)).
case_images: Chest X-ray after intubation, demonstrating a large right hydropneumothorax as a result of a bronchopleural fistula.
case_images: CRIPU2024-8850287.003.jpg
case_images: PMC11268966_01_CRIPU2024-8850287.003.jpg
case_images: fig3
case_images: On hospital Day 6, following the progression of hypoxemic respiratory failure necessitating endotracheal intubation and subsequent exposure to positive pressure ventilation, a large hydropneumothorax developed (Figure 3).
case_images: Histopathology of resected mediastinal mass revealing extensive infectious lymphadenitis.
case_images: CRIPU2024-8850287.004.jpg
case_images: PMC11268966_01_CRIPU2024-8850287.004.jpg
case_images: fig4
case_images: Histopathology of the resected tissue demonstrated extensive infectious lymphadenitis with no evidence of Histoplasma spp., Mycobacterium, germ cell tumor, myofibroblastic tumor, or lymphoma (Figure 4).