A 94-year-old female patient was referred to the emergency department of our hospital for cough productive of purulent sputum and recurrent episodes of haemoptysis. She was a mild, former smoker. Her medical history was notable for a left-sided pleuropulmonary infection treated for months with antibiotics at the age of 2 years, and for recurrent respiratory infections occurring ever since. Chest CT revealed multiple abnormalities of the left lung consisting of a marked volume loss; diffuse bronchiectasis prevailing in the upper lobe, where a large airway consolidation was also evident; and multiple centrilobular nodules of variable sizes (figure 1A,B). Furthermore, a reduction of the lumen of the left main stem bronchus associated with possible fractures of some …

中文翻译：

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肺结核引起的软骨骨折导致左主干支气管塌陷

94岁女性患者，因咳嗽咳痰、反复咯血到我院急诊科就诊。她是个温和的人，以前吸烟。她的病史值得注意，因为在 2 岁时用抗生素治疗了数月的左侧胸膜肺感染，以及此后发生的反复呼吸道感染。胸部 CT 显示左肺多处异常，包括明显的容量减少；上叶弥漫性支气管扩张，大气道实变也很明显；和多个大小不一的小叶中心结节（图 1A、B）。此外，左主干支气管管腔缩小与某些……的可能骨折有关。