case_images: PMC4731483_01
case_images: (A) Chest radiograph posteroanterior view showing a right midzone patchy consolidation and an ill-defined opacity abutting the right cardiac border with loss of cardiac silhouette. (B) Chest radiograph right lateral view showing a wedge shaped density extending from the hilum anteriorly and inferiorly along with loss of volume confirming a middle lobe syndrome.
case_images: apa-6-67-g001.jpg
case_images: PMC4731483_01_apa-6-67-g001.jpg
case_images: F1
case_images: In addition to the midzone patchy consolidation, an ill-defined opacity abutting the right cardiac border with loss of cardiac silhouette was detected on the chest radiograph (Fig. 1A). A right lateral view showed a wedge shaped density extending from the hilum anteriorly and inferiorly along with loss of volume confirming a MLS (Fig. 1B).
case_images: (A) High resolution computed tomography (HRCT) (mediastinal window) of the thorax showing middle lobe syndrome. (B) HRCT (lung window) of the thorax showing central bronchiectasis.
case_images: apa-6-67-g002.jpg
case_images: PMC4731483_01_apa-6-67-g002.jpg
case_images: F2
case_images: High resolution computed tomography (HRCT) of the thorax confirmed MLS and also revealed central bronchiectasis (Fig. 2) which prompted investigations for ABPA.