Left pulmonary artery agenesis with pulmonary hypoplasia in an elderly patient: a rare case report.

Proximal interruption of the unilateral pulmonary artery is a rare congenital anomaly, which is often associated with other cardiovascular abnormalities. It is usually diagnosed in children but rarely discovered in adulthood as an isolated phenomenon, occurring more frequently on the right side and is often associated with a contralateral aortic arch. We are presenting a rare case of a sixty year old male who was diagnosed with left lung hypoplasia due to proximal interruption of left pulmonary artery with left sided aortic arch without any associated cardiovascular anomalies.

Pulmonary Lymphangitis Carcinomatosis In Primary Oesophagogastric Carcinoma.

Pulmonary Lymphangitis carcinomatosis is an unusual metastatic manifestation of Oesophagogastric carcinoma and it occurs due to diffuse spread of the tumour to the pulmonary lymphatic system. We described a case of a 28 year old woman, presenting with gradually progressive dyspnoea and cough where results of Chest X-ray and HRCT thorax were consistent with features of Lymphangitis carcinomatosis. Upper GI endoscopic evaluation showed a tumour originating from oesophagogastric junction and extending to cardia of stomach. Biopsy from tumour revealed adenocarcinoma. As there is no definitive therapy to this condition, patient was managed conservatively only to succumb few days after hospitalisation.