Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT...

17
Adenocarcinoma • This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways not visualised. VB and MPR (image 2 & 3) shows compression of LLL bronchus and patent distal airways. Subsequent rigid bronchoscopy confirmed this. A stent was inserted. Small multiple 3mm nodules were also seen which were not visualised on VB.

Transcript of Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT...

Page 1: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.

Adenocarcinoma• This lady presented with severe breathlessness and

was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways not visualised. VB and MPR (image 2 & 3) shows compression of LLL bronchus and patent distal airways. Subsequent rigid bronchoscopy confirmed this. A stent was inserted. Small multiple 3mm nodules were also seen which were not visualised on VB.

Page 2: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 3: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 4: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 5: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 6: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.

Carcinoid Tumour

• This frail 82yr old patient with IHD presented with malaise and haemoptysis. VB and MPR (image 1 & 2) showed a polypoid lesion in the RUL bronchus. Subsequent FOB (image 3) confirmed this.

Page 7: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 8: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 9: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 10: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.

CLL with RUL pneumonia

• This 66yr old male with CLL presented with RUL pneumonia and was too ill for FOB. VB showed patent RUL bronchus excluding an obstructive/compressive lesion.

Page 11: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 12: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 13: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.

Sq Ca occluding LM bronchus

• FOB in this man showed an occluded LMB (seen on photograph). VB and MPR (image 1 and 2) confirms this but clearly also shows that distal airways are patent. This could not be appreciated on the axial CT view (image 3).

Page 14: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 15: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 16: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.
Page 17: Adenocarcinoma This lady presented with severe breathlessness and was unfit for FOB. Subsequent CT showed compression of LLL bronchus but distal airways.