case_images: PMC3300901_01
case_images: Chest radiograph performed at admission to the hospital.
case_images: 1757-1626-2-7414-1.jpg
case_images: PMC3300901_01_1757-1626-2-7414-1.jpg
case_images: F1
case_images: The chest radiograph (figure 1) showed a disproportion in dimensions and vascular markings between both lungs- the left one was significantly smaller and had decreased vascular markings in comparison to the right one- these findings might be the expression of left lung hypoplasia.
case_images: Flow-volume curve showing a restrictive pattern performed at admission to the hospital.
case_images: 1757-1626-2-7414-2.jpg
case_images: PMC3300901_01_1757-1626-2-7414-2.jpg
case_images: F2
case_images: Spirometry performed during hospitalization in our clinic showed a restrictive pattern (figure 2) with forced expiratory volume in one second (FEV1) of 59% predicted and forced vital capacity (FVC) of 66% predicted.
case_images: High enhancement of the tumor (arrow) after contrast medium administration: on the left- before administration of contrast medium, in the middle-after administration; arterial phase, on the right-parenchymal phase.
case_images: 1757-1626-2-7414-3.jpg
case_images: PMC3300901_01_1757-1626-2-7414-3.jpg
case_images: F3
case_images: The tumor showed very high enhancement after contrast medium administration: from 9 HU (Hounsfield units) (figure 3a) to 119 HU in arterial phase (figure 3b) and 47 HU in parenchymal phase (figure 3c), which is characteristic for carcinoid.
case_images: Total occlusion of the left main bronchus by the tumor (arrow).
case_images: 1757-1626-2-7414-4.jpg
case_images: PMC3300901_01_1757-1626-2-7414-4.jpg
case_images: F4
case_images: In virtual bronchoscopy, as well as in transparent reconstruction of the airways, a total occlusion of the left main bronchus by the tumor could be observed (Figure 4 and 5).
case_images: Amputation of the left main bronchus by the tumor (arrow).
case_images: 1757-1626-2-7414-5.jpg
case_images: PMC3300901_01_1757-1626-2-7414-5.jpg
case_images: F5
case_images: In virtual bronchoscopy, as well as in transparent reconstruction of the airways, a total occlusion of the left main bronchus by the tumor could be observed (Figure 4 and 5).