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6. Operative Report

PREOPERATIVE DIAGNOSIS: Dyspnea and hypoxia

POSTOPERATIVE DIAGNOSIS: Dyspnea and hypoxia

PROCEDURE: Fiberoptic bronchoscopy, endobronchial brush biopsies from the lingula, in addition to bronchoalveolar lavage

DESCRIPTION OF PROCEDURE: The patient was induced under general anesthesia in the supine position. The naris was anesthetized and the bronchoscope was easily passed into the trachea and main carina, which appeared normal in all aspects.

The bronchoscope was then passed into the left tracheobronchial tree. The left upper, lingula and left lower lobes all showed erythema but it was most pronounced in the lingula. No tumors were identified. Several endobronchial brush biopsies were obtained from the lingula. These were sent for histopathologic analysis.

The scope was then advanced into the right tracheobronchial tree. The right upper, middle and lower lobes were carefully inspected. The right tree was completely normal in appearance. The scope was then readvanced into the lingula where it was wedged into the lowest subsegment and bronchoalveolar lavage was easily performed. Two aliquots of 15 mL each were applied and 26 mL was retrieved. This was sent for routine, AFB cultures, and cytology. Hemostasis was achieved. The scope was withdrawn and no difficulties were encountered.