Right lower lobe collapse

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

MVA in the intensive care unit (ICU) for head injury.

Patient Data

Age: 30 years
Gender: Male
x-ray
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Info

Right lower lobe triangular opacity, obscuring right hemidiaphragm. Mild mediastinal shift towards right side. Mild crowding of right lower ribs.

A day later

ct
This study is a stack
Axial C+
arterial phase
This study is a stack
Coronal C+
arterial phase
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Info

Complete collapse of right lower lobe. Mild mediastinal shift towards right side.

Intrapulmonary malposition of a left-sided chest drain.

Case Discussion

CXR demonstrates collapse of the right lower lobe, confirmed on CT of the chest obtained a day later. 

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