Presentation
Fatigue and weight loss for unknown reasons. CT to rule out a tumor.
Patient Data
Age: 55 years
Gender: Male
From the case:
Localized pulmonary hemorrhage
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there is a left-sided spiculated pulmonary hilar mass, measuring 32 x 20 mm. This mass is centered on the apicoposterior segment bronchus (B1+2) which is completely obstructed, without associated parenchymal collapse.
no pleural or pericardial effusion
left lower paratracheal (4L) lymphadenopathy
bilateral moderate centrilobular emphysema
The patient had a bronchoscopy with biopsies.
10 days later he had a PET-scan.
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Onset of a left upper lobe consolidation with air bronchogram and surrounding ground glass opacification.
Case Discussion
Features of an iatrogenic localized pulmonary hemorrhage following bronchoscopy with biopsy of the left upper lobe tumor.
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