Right lower lobe consolidation

Last revised by Craig Hacking ◉ on 20 Jun 2024

Citation, DOI, disclosures and article data

Citation:

Jones J, Hacking C, Yap J, et al. Right lower lobe consolidation. Reference article, Radiopaedia.org (Accessed on 21 Mar 2025) https://doi.org/10.53347/rID-6162

DOI:

https://doi.org/10.53347/rID-6162

Permalink:

https://radiopaedia.org/articles/6162?embed_domain=hackmd.io%2F%40yIPUAFeCSL2JsU8smR5nJQ%2Fbnjhjgjghjghjgh

rID:

6162

Article created:

1 May 2009, Jeremy Jones ◉

Disclosures:

At the time the article was created Jeremy Jones had no recorded disclosures.

View Jeremy Jones's current disclosures

Last revised:

20 Jun 2024, Craig Hacking ◉

Disclosures:

At the time the article was last revised Craig Hacking had the following disclosures:

Philips Australia, Paid speaker at Philips Spectral CT events (ongoing)

These were assessed during peer review and were determined to not be relevant to the changes that were made.

View Craig Hacking's current disclosures

Revisions:

19 times, by 9 contributors - see full revision history and disclosures

Systems:

Chest

Sections:

Gamuts

Tags:

stub, refs

Synonyms:

RLL consolidation
Consolidation of the right lower lobe
right lower lobe (RLL) consolidation

Right lower lobe consolidation refers to consolidation in part (incomplete) or all (complete) of the right lower lobe.

opacification of the right lower zone, that may abut the oblique fissure
obscuration of the right hemidiaphragm (silhouette sign)
normal (clear and distinct) right heart border (cf. middle lobe consolidation)
normal (clear and distinct) right superior mediastinal contour (cf. right upper lobe consolidation)
obscuration of the right hilum, particularly the inferior hilum
visible horizontal fissure
air bronchograms
on lateral CXR: triangular opacification posterior and inferior to right oblique fissure with obscuration of the dome and posterior aspect of the right hemidiaphragm

General considerations

It must be remembered that the homogeneity of the consolidation will be influenced by any underlying lung disease.

Occasionally with complete lobar consolidation, there may be an increased volume of the affected lobe, rather than the more frequent collapse. When the fissures are outwardly convex, the appearance is referred to as the bulging fissure sign.

A mnemonic to remember the general features of consolidation is A2BC3.