PMC4731483_01
(A) Chest radiograph posteroanterior view showing a right midzone patchy consolidation and an ill-defined opacity abutting the right cardiac border with loss of cardiac silhouette. (B) Chest radiograph right lateral view showing a wedge shaped density extending from the hilum anteriorly and inferiorly along with loss of volume confirming a middle lobe syndrome.
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F1
In addition to the midzone patchy consolidation, an ill-defined opacity abutting the right cardiac border with loss of cardiac silhouette was detected on the chest radiograph (Fig. 1A). A right lateral view showed a wedge shaped density extending from the hilum anteriorly and inferiorly along with loss of volume confirming a MLS (Fig. 1B).
(A) High resolution computed tomography (HRCT) (mediastinal window) of the thorax showing middle lobe syndrome. (B) HRCT (lung window) of the thorax showing central bronchiectasis.
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F2
High resolution computed tomography (HRCT) of the thorax confirmed MLS and also revealed central bronchiectasis (Fig. 2) which prompted investigations for ABPA.