PMC3300901_01
Chest radiograph performed at admission to the hospital.
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F1
The chest radiograph (figure 1) showed a disproportion in dimensions and vascular markings between both lungs- the left one was significantly smaller and had decreased vascular markings in comparison to the right one- these findings might be the expression of left lung hypoplasia.
Flow-volume curve showing a restrictive pattern performed at admission to the hospital.
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F2
Spirometry performed during hospitalization in our clinic showed a restrictive pattern (figure 2) with forced expiratory volume in one second (FEV1) of 59% predicted and forced vital capacity (FVC) of 66% predicted.
High enhancement of the tumor (arrow) after contrast medium administration: on the left- before administration of contrast medium, in the middle-after administration; arterial phase, on the right-parenchymal phase.
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F3
The tumor showed very high enhancement after contrast medium administration: from 9 HU (Hounsfield units) (figure 3a) to 119 HU in arterial phase (figure 3b) and 47 HU in parenchymal phase (figure 3c), which is characteristic for carcinoid.
Total occlusion of the left main bronchus by the tumor (arrow).
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F4
In virtual bronchoscopy, as well as in transparent reconstruction of the airways, a total occlusion of the left main bronchus by the tumor could be observed (Figure 4 and 5).
Amputation of the left main bronchus by the tumor (arrow).
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F5
In virtual bronchoscopy, as well as in transparent reconstruction of the airways, a total occlusion of the left main bronchus by the tumor could be observed (Figure 4 and 5).