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Asian Cardiovasc Thorac Ann 2007;15:79
© 2007 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

A Left Upper Lobe Tumour Mimicking Tracheal Stenosis on Plain Chest X-Ray

Pradeep Narayan, FRCS, Suma Chakrabarthi, FRCR1, Gevdeep Bhabra, MBChB, Anthony Morgan, FRCS

Department of Thoracic Surgery
2 Department of Radiology, Bristol Royal Infirmary, Bristol, United Kingdom

For reprint information contact: Anthony Morgan, FRCS Tel: 44 117 928 4211 Fax: 44 117 928 3522 Email: Anthony.Morgan{at}ubht.swest.nhs.uk, Department of Thoracic Surgery, Bristol Royal Infirmary, Bristol, United Kingdom.

A 67-year-old gentleman with large left upper lobe tumour treated with palliative radiotherapy presented with stridor. Chest X-Ray suggested tracheal stenosis (Figure 1Go). Bronchoscopy revealed bronchial debris but no tracheal stenosis (Figure 2Go). Chest X-Ray can be unreliable in diagnosing tracheal stenosis. As in this patient, obstruction due to bronchial debris following radiotherapy may cause stridor.


Figure 1
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  		Figure 1. Chest X-Ray showing left upper lobe tumour giving the impression of tracheal stenosis.

 

Figure 2
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  		Figure 2. Bronchoscopy showing no tracheal stenosis.

 





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