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An Unusual Case of Lobar Collapse*

Mo Aye, MB, BS; Ann P. Campbell, MD; Michael A. Greenstone, MD
Author and Funding Information

*From Castle Hill Hospital (Drs. Aye and Greenstone), Cottingham, East Yorkshire; and Hull Royal Infirmary (Dr. Campbell), Hull, United Kingdom.

Correspondence to: Michael A. Greenstone, MD, Medical Chest Unit, Castle Hill Hospital, Cottingham, East Yorkshire, HU16 5JQ, United Kingdom; e-mail sternes@sternes.demon.co.uk



Chest. 2002;122(4):1465-1466. doi:10.1378/chest.122.4.1465
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Extract

A 70-year-old woman presented with a 1-month history of increasing dyspnea and a nonproductive cough. She had a history of bronchial asthma, hypertension, carotid endartectomy, diverticular disease, and osteoarthritis. She had no other systemic symptoms and had not smoked for many years. Medications included aspirin, bendrofluazide, inhaled fluticasone, and albuterol.

On clinical examination, she was afebrile with a pulse rate of 90 beats/min and a BP of 140/100 mm Hg. A small mobile lymph node was palpable in the anterior triangle close to the left sternomastoid insertion. There was mild stridor, and wheezing was heard over the left upper lobe. Spirometry showed an FEV1 of 1.6 L/min and FVC of 2.3 L.

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