PMC3015220_01
Posterior-anterior view chest radiograph demonstrating right upper lobe atelectasis.
jsls-1-1-75-g01.jpg
PMC3015220_01_jsls-1-1-75-g01.jpg
F1
After intermittent oral antibiotics for six weeks and no resolution of his symptoms a repeat chest radiograph (Figure 1) demonstrated progression of his infiltrate to lobar atelectasis.
Computed tomogram of the chest with intravenous contrast. A solid mass adjacent to the pericardium and subclavian vessels is noted.
jsls-1-1-75-g02.jpg
PMC3015220_01_jsls-1-1-75-g02.jpg
F2
Further evaluation with computed tomography of the chest (Figure 2) showed an irregular mass obstructing the right upper lobe bronchus and dense consolidation of the lobe immediately adjacent to the posterior thorax and pericardium.
Gross specimen demonstrates a deeply infiltrating squamous cell tumor of the right upper and middle lobe bronchus.
jsls-1-1-75-g03.jpg
PMC3015220_01_jsls-1-1-75-g03.jpg
F3
A moderately differentiated, deeply infiltrating squamous cell carcinoma of the right upper and middle lobe bronchi was found on pathological examination. (Figure 3) Station 2, 4, 7, and 9 nodes were free of tumor.