EURORAD ESR

Case 15520

Unusual complication of Ivor Lewis oesophagectomy

Author(s)
Dr Mohamed L, Dr Tofeig M, Dr Osman A, Dr Brozik J

University Hospitals of Leicester NHS Trust, Glenfield Hospital, Groby Road, LE3 9QP
 
Patient
female, 47 year(s)
 
 
  • Figure 1
    Semi-erect mobile chest radiograph

    Extensive opacification of the right lung with abnormal displacement of the fissure

     
    Area of Interest: Lung; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Contrast-enhanced CT chest - axial view, mediastinal window.

    1. Abrupt tapering of right main pulmonary artery. 2. Abnormal positions of fissures. 3. Lack of enhancement within the consolidation in the right lung when compared to contralateral lung.

     
    Area of Interest: Lung; Pulmonary vessels; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Contrast-enhanced CT chest - axial view, pulmonary window.

    1. Occlusion of the right main bronchus. 2. Abnormal position of interlobar fissures. 3. Extensive ground glass opacification combined with septal lines (crazy-paving pattern) and patches of consolidation within...

     
    Area of Interest: Lung; Pulmonary vessels; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    Contrast-enhanced CT chest - axial view, pulmonary window.

    Abnormal position of interlobar fissure.

     
    Area of Interest: Lung; Pulmonary vessels; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    Contrast-enhanced CT chest- Coronal reconstruction, pulmonary window

    1. Occlusion of the right upper lobar bronchus and right intermediate bronchus at the level of secondary carina. 2. Abnormal positions of interlobar fissures. 3. Presence of septal lines.

     
    Area of Interest: Lung; Pulmonary vessels; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    Contrast-enhanced CT chest - sagittal reconstruction, pulmonary window.

    Abnormal rotation of interlobar fissures suggestive of right lung torsion. Curved arrow highlighting the probable direction of torsion.

     
    Area of Interest: Lung; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Extensive opacification of the right lung with abnormal displacement of the fissure
 
1. Abrupt tapering of right main pulmonary artery. 2. Abnormal positions of fissures. 3. Lack of enhancement within the consolidation in the right lung when compared to contralateral lung.
 
1. Occlusion of the right main bronchus. 2. Abnormal position of interlobar fissures. 3. Extensive ground glass opacification combined with septal lines (crazy-paving pattern) and patches of consolidation within ground glass opacities.
 
Abnormal position of interlobar fissure.
 
1. Occlusion of the right upper lobar bronchus and right intermediate bronchus at the level of secondary carina. 2. Abnormal positions of interlobar fissures. 3. Presence of septal lines.
 
Abnormal rotation of interlobar fissures suggestive of right lung torsion. Curved arrow highlighting the probable direction of torsion.
 
 
 
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