Situation

A patient who previously underwent a left upper lobectomy for a T2N1 adenocarcinoma 15montrs ago is completely well in clinic. On examination there is slight wheeze on the operated side in outpatients. The CXR is unchanged, what do you do ?

Opinion

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Opinion

Possible cause of this scenario include recurrent disease or lymph nodes with tumour, a technical problem in how the bronchus was closed is also a possibility.

A CT scan of the chest and a bronchoscopy should be performed, to evaluate the cause.