case_images: PMC11060025_01
case_images: Chest computed tomography (CT) scan shows a multiple intra bronchial soft tissues (arrow) in the right lung, one of them seen narrowing the upper lobe bronchus, other tissue critically narrowing the bronchus intermedius, resulting in partial collapse of the right middle and lower lobes: (A) coronal view and (B) axial view.
case_images: 10.1177_23247096241248981-fig1.jpg
case_images: PMC11060025_01_10.1177_23247096241248981-fig1.jpg
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case_images: According to his history and clinical findings, we decided to do chest computed tomography (CT) scan, which revealed a right endobronchial lesion that had partially obstructed the bronchus intermedius, which resulted in partial collapse of the right middle and lower lobes (Figure 1).
case_images: Bronchoscopy view showing a huge sessile lesion obstructing the right bronchus.
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case_images: After that, the patient underwent flexible bronchoscopy with multiple hot snaring of a huge sessile endobronchial lesion located in bronchus intermedius, causing a subtotal obstruction, the lesion was totally removed (Figures 2 and 3).
case_images: FEP pieces after excision.
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case_images: PMC11060025_01_10.1177_23247096241248981-fig3.jpg
case_images: fig3-23247096241248981
case_images: After that, the patient underwent flexible bronchoscopy with multiple hot snaring of a huge sessile endobronchial lesion located in bronchus intermedius, causing a subtotal obstruction, the lesion was totally removed (Figures 2 and 3).
case_images: Histopathological evaluation: A polyp covered by benign pseudostratified ciliated columnar (respiratory epithelium). (A) There is a polypoid mass with midly fibrocellular stroma and a sparse lymphocytic infiltrate. (B) Prominent dilated small thin walled vessels associated with fibro collagenous stroma and mildly acanthotic mucosa. No dysplasia or malignancy was notice.
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case_images: PMC11060025_01_10.1177_23247096241248981-fig4.jpg
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case_images: FEP, no evidence of malignancy was seen (Figure 4). Four months later, a follow-up flexible bronchoscopy was done and revealed a normal bronchial anatomy, with no evidence of residual tissue or local recurrence.