Atelectasis CT: Difference between revisions

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[Complication 2]
[Complication 2]
[Complication 3]
[Complication 3]
CT scans demonstrates direct and indirect signs of lobar collapse.
Direct signs:
Displacement of fissures
Opacification of the collapsed lobe
Indirect signs:
Hilar displacement
Mediastinal shift toward the side of collapse
Loss of volume on ipsilateral hemithorax
Elevation of ipsilateral diaphragm
Rib crowding
Compensatory hyperlucency of the remaining lobes
Silhouetting of the diaphragm or the heart border.
Complete atelectasis of an entire lung:
Complete collapse of a lung leads to opacification of the entire hemithorax  Ipsilateral shift of the mediastinum
Mediastinal shift separates atelectasis from massive pleural effusion
RUL collapse:
RUL collapse appears as a right paratracheal opacity
Minor fissure appears concave laterally
Atelectatic RML:
Tilted ice cream cone sign:
Appears as a triangular opacity against the right heart border with the apex pointing laterally
Collapsed RLL:
Paraspinal masslike appearance
Left upper lobe (LUL) collapse:
Left upper lobe has an inferior location due to collapse
RUL appears to be shifted across the midline
Left lower lobe (LLL) collapse: Atelectatic LLL in the inferior posterior location
Images shown in this section are courtesy of RadsWiki and copylefted.
Images shown in this section are courtesy of RadsWiki and copylefted.



Revision as of 14:24, 22 February 2018

Atelectasis Microchapters

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Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Atelectasis from other Diseases

Epidemiology and Demographics

Risk Factors

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Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

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CT

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Other Diagnostic Studies

Treatment

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Risk calculators and risk factors for Atelectasis CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

Overview

There are no CT scan findings associated with [disease name].

OR

[Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

CT

  • There are no CT scan findings associated with [disease name].

OR

  • [Location] CT scan may be helpful in the diagnosis of [disease name]. Findings on CT scan suggestive of/diagnostic of [disease name] include:
    • [Finding 1]
    • [Finding 2]
    • [Finding 3]

OR There are no CT scan findings associated with [disease name]. However, a CT scan may be helpful in the diagnosis of complications of [disease name], which include: [Complication 1] [Complication 2] [Complication 3]

CT scans demonstrates direct and indirect signs of lobar collapse.
Direct signs:

Displacement of fissures Opacification of the collapsed lobe

Indirect signs: Hilar displacement Mediastinal shift toward the side of collapse Loss of volume on ipsilateral hemithorax Elevation of ipsilateral diaphragm Rib crowding Compensatory hyperlucency of the remaining lobes Silhouetting of the diaphragm or the heart border.

Complete atelectasis of an entire lung: Complete collapse of a lung leads to opacification of the entire hemithorax Ipsilateral shift of the mediastinum Mediastinal shift separates atelectasis from massive pleural effusion

RUL collapse: RUL collapse appears as a right paratracheal opacity Minor fissure appears concave laterally

Atelectatic RML: Tilted ice cream cone sign: Appears as a triangular opacity against the right heart border with the apex pointing laterally

Collapsed RLL: Paraspinal masslike appearance

Left upper lobe (LUL) collapse: Left upper lobe has an inferior location due to collapse RUL appears to be shifted across the midline

Left lower lobe (LLL) collapse: Atelectatic LLL in the inferior posterior location Images shown in this section are courtesy of RadsWiki and copylefted.

References

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