case_images: PMC11737896_01
case_images: Left: Right main bronchus shown by black arrowhead and inflamed lung parenchyma shown by arrowhead. Right: Trachea and collapsed lung on CT scan (white arrowhead).
case_images: rjae703f1.jpg
case_images: PMC11737896_01_rjae703f1.jpg
case_images: f1
case_images: Chest auscultation revealed normal findings, and a prior CT scan indicated a large fat-density lesion measuring approximately 9.1 x 6.9 x 9.3 mm under the scapula, with consolidative opacities in the left lung lingular segments suggestive of collapse consolidation (Fig. 1).
case_images: Bronchoscopy report confirming a mass completely occluding the left upper lobe and lingula (Fig. 3). Endobronchial lipoma along the left main bronchus (white arrowhead).
case_images: rjae703f2.jpg
case_images: PMC11737896_01_rjae703f2.jpg
case_images: f2
case_images: Bronchoscopy confirmed complete occlusion of the left upper lobe and lingula by a mass (Fig. 2), and subsequent CT with contrast revealed luminal obliteration of the left upper lobe bronchus by a long linear fat-density structure.
case_images: Endobronchial lipoma along the left main bronchus (arrowhead).
case_images: rjae703f3.jpg
case_images: PMC11737896_01_rjae703f3.jpg
case_images: f3
case_images: The patient underwent left-sided thoracotomy and upper lobectomy due to severe parenchymal inflammation and necrosis of the left upper lobe, with histopathology confirming a well-circumscribed adipocytic lesion consistent with lipoma measuring ~9.1 x 6.9 x 9.3 mm in the bronchus (Figs 3 and 4).
case_images: Endobronchial lipoma along the left main bronchus (arrowhead).
case_images: rjae703f4.jpg
case_images: PMC11737896_01_rjae703f4.jpg
case_images: f4
case_images: The patient underwent left-sided thoracotomy and upper lobectomy due to severe parenchymal inflammation and necrosis of the left upper lobe, with histopathology confirming a well-circumscribed adipocytic lesion consistent with lipoma measuring ~9.1 x 6.9 x 9.3 mm in the bronchus (Figs 3 and 4).