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Lobar torsion secondary to lung adenocarcinoma

Imaging findings

Initial radiographs and CT show a left upper lobe consolidation. Repeat imaging shows the consolidation has rotated, and thoracoscopy confirmed lobar torsion with pathology showing underlying adenocarcinoma.

Key takeaways

Lobar torsion is a rare condition where a lobe rotates on its bronchovascular pedicle, often secondary to prior surgery or a mass. The presence of underlying lung adenocarcinoma can facilitate torsion by altering lobar mobility.

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