PMC1277010_01
Chest x-ray of the child 4 months before referral. The CXR shows collapse and tram tracks of the right upper lobe and increased peribronchial and interstitial markings of the right lower lobe.
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F1
CXR changes were documented at least 4-months ago (figures 1 and 2). Chest high resolution computerised tomography (CT) scan revealed RUL collapse and severe cystic bronchiectasis and cylindrical bronchiectasis of the right middle and lower lobes (figures 3 and 4).
CXR of child from referral hospital showing minimal increased changes from CXR taken 4 months ago.
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F2
CXR changes were documented at least 4-months ago (figures 1 and 2). Chest high resolution computerised tomography (CT) scan revealed RUL collapse and severe cystic bronchiectasis and cylindrical bronchiectasis of the right middle and lower lobes (figures 3 and 4).
Representative high resolution CT chest slices demonstrating collapse and severe bronchiectasis of the right upper lobe.
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F3
CXR changes were documented at least 4-months ago (figures 1 and 2). Chest high resolution computerised tomography (CT) scan revealed RUL collapse and severe cystic bronchiectasis and cylindrical bronchiectasis of the right middle and lower lobes (figures 3 and 4).
Representative high resolution CT chest slices demonstrating 'mild' bronchiectasis of the right lower lobe with partial collapse of right middle lobe. Bronchiectasis also present in the right middle lobe is not clearly demonstrated here.
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F4
CXR changes were documented at least 4-months ago (figures 1 and 2). Chest high resolution computerised tomography (CT) scan revealed RUL collapse and severe cystic bronchiectasis and cylindrical bronchiectasis of the right middle and lower lobes (figures 3 and 4).
Bronchoscopic picture of the carina prior to bronchoscopic partial removal of the tumour. The mucoepidermoid carcinoma that arose from the right upper lobe bronchus was so large it protruded into and obstructed the entire right main stem and is clearly visible at the carina (large arrow). The left main bronchus (small thick arrow) is partially occluded by secretions.
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F5
Flexible bronchoscopy revealed a large lesion at the carina (Figure 5).