PMC4681979_01
The chest Xray without arrows.
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fig1
Chest-Xray revealed left-upper-lobe collapse with leftward deviation of the trachea and mediastinum (Fig. 1).
The CT thorax.
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fig2
CT thorax revealed a long segment of stenosis in the left mainstem bronchus (Fig. 2).
The initial bronchoscopy, pre dilation.
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fig3
Bronchoscopy was notable for pin point stenosis of the left mainstem bronchus beyond which was inflamed mucosa and abnormal cartilage rings in the left upper and middle lobe bronchi (Fig. 3).
The last bronchoscopy, post dilation.
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fig4
Nine months of medical therapy for tuberculosis along with oral steroid taper was completed successfully; however the patient has required six serial bronchscopies with dilatations without stent placement at four to six week intervals due to partial restenosis, with the last bronchoscopy at four months after completion of tuberculosis therapy (Fig. 4).