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Combined Right Upper and Middle Lobe Collapse due to Central Bronchial Obstruction

Imaging findings

Radiograph shows a hazy opacity and significant volume loss in the right hemithorax with a sharp interface mimicking left upper lobe collapse. Chest CT confirms combined collapse of both the right upper and middle lobes secondary to a central obstructing hilar mass invading the right-sided airways.

Key takeaways

Combined collapse of the right upper and middle lobes is an uncommon pattern that can radiographically mimic left upper lobe collapse due to the shift of mediastinal structures and the orientation of the major fissure. This pattern is typically caused by a central obstructing lesion, such as lung cancer, and warrants urgent diagnostic CT and bronchoscopy.

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