Round atelectasis
Round atelectasis (also known as folded lung or Blesovsky syndrome) is an unusual type of lung atelectasis where there is infolding of a redundant pleura . The way the lung collapses can at times give a false mass like appearance.
It can be seen association with
- asbestos lung exposure 3 : most commonly
- therapeutic pneumothorax in the treatment of tuberculosis 1
- congestive heart failure 2
- pulmonary infarction 2
Location - distribution
There may be a predilection towards the lower lobes 4.
Radiographic features
HRCT : Chest
- almost always seen adjacent to a pleural surface
- comet tail sign 2 : produced by the pulling of bronchovascular bundles giving the shape of a comet tail

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