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A case of haemoptysis and bilateral areas of lung consolidation sparing the right lower lobe

Nadia Corcione, Antonio Ponticiello, Severo Campione, Alfonso Pecoraro, Livio Moccia, Giuseppe Failla
Breathe 2021 17: 210072; DOI: 10.1183/20734735.0072-2021
Nadia Corcione
1Interventional Pulmonology Unit, Dept of Pulmonology, Oncology and Hematology, Cardarelli Hospital, Naples, Italy
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  • For correspondence: nadia.corcione@gmail.com
Antonio Ponticiello
2University of Naples Federico II, School of Medicine and Surgery, Naples, Italy
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Severo Campione
3Pathology Unit, Dept of Advanced Technology, Cardarelli Hospital, Naples, Italy
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Alfonso Pecoraro
1Interventional Pulmonology Unit, Dept of Pulmonology, Oncology and Hematology, Cardarelli Hospital, Naples, Italy
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Livio Moccia
1Interventional Pulmonology Unit, Dept of Pulmonology, Oncology and Hematology, Cardarelli Hospital, Naples, Italy
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Giuseppe Failla
1Interventional Pulmonology Unit, Dept of Pulmonology, Oncology and Hematology, Cardarelli Hospital, Naples, Italy
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    Figure 1

    a) CT thorax axial section showing bilateral consolidation. b) CT thorax lung window showing bilateral, partially confluent macronodules. c) CT thorax axial section showing RLLB occluded by hypodense mass with calcific nuclei. d) CT thorax axial section showing RLL bronchiectasis. The parenchyma of the RLL is relatively spared by consolidation and nodules.

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    Figure 2

    a) Bronchoscopic view. A: right middle lobe; B: vegetation with smooth surface occluding the RLLB; C: segmental bronchus rB6. b) CT thorax axial section showing the vegetation, detail.

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    Figure 3

    a) Bronchoscopic view of the radial probe entering segmental bronchus lB6. b) Ultrasonographic view of the lesion in segmental bronchus lB6: lobulated shape, with a distinct but not sharp margin, absence of blood vessels and linear air bronchogram.

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    Figure 4

    Bronchoscopic view of the RLLB after removal of the vegetation. A: peduncle of the vegetation emerging from the segmental bronchus rB7; B: segmental bronchus rB9; C: segmental bronchus rB10; D: segmental bronchus rB8.

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    Figure 5

    Typical pulmonary carcinoid: a) organoid growth pattern (scale bar=100 μm),  b) cells demonstrating intense synaptophysin immunoreactivity (scale bar=50 μm). Lung adenocarcinoma: c) acinar growth pattern (scale bar=100 μm), d) the percentage of cells showing PD-L1 was >1% and <50% (scale bar=100 μm).

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Vol 17 Issue 4 Table of Contents
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A case of haemoptysis and bilateral areas of lung consolidation sparing the right lower lobe
Nadia Corcione, Antonio Ponticiello, Severo Campione, Alfonso Pecoraro, Livio Moccia, Giuseppe Failla
Breathe Dec 2021, 17 (4) 210072; DOI: 10.1183/20734735.0072-2021

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A case of haemoptysis and bilateral areas of lung consolidation sparing the right lower lobe
Nadia Corcione, Antonio Ponticiello, Severo Campione, Alfonso Pecoraro, Livio Moccia, Giuseppe Failla
Breathe Dec 2021, 17 (4) 210072; DOI: 10.1183/20734735.0072-2021
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