Bronchopulmonary sequestration in an adult patient in his late 60s

Bronchopulmonary sequestration (BPS) is a congenital anomaly of the lung characterised by non-functioning pulmonary tissue that receives its blood supply from an anomalous systemic artery, most commonly from the aorta. Although typically diagnosed in childhood or adolescence, BPS can present later in life and may mimic more common pulmonary conditions. We present the case of a male patient in his late 60s with a persistent non-productive cough, in whom imaging revealed a sequestered lung segment with a feeding vessel arising directly from the descending aorta. This case emphasises the importance of recognising that congenital pulmonary anomalies such as sequestration can present for the first time in older adults. Early recognition is crucial to avoid misdiagnosis as malignancy or chronic infection and to ensure that patients receive the appropriate, individualised management.