Bilateral atelectasis

Case contributed by Mr Andrew Murphy

Presentation

Left chest pain, 1 week post splenectomy

Patient Data

Age: 35 years
Gender: Male
X-ray

There are symmetrical curvilinear opacities extending superolateral from the lower mediastinum bilaterally. They are separate to the oblique fissure on the lateral projection, most likely to be atelectasis.

CT

No filling defects to suggest a pulmonary embolus. Bilateral lower lobe subsegmental atelectasis, with a small left pleural effusions. Postoperative stranding within the left upper quadrant and epigastric region.

Case Discussion

Atelectasis is common after larger surgical procedures, patients will often present with chest pain native to the side of collapse. Subsegmental atelectasis like this is often best visualised on computed tomography.

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Case information

rID: 48666
Case created: 19th Oct 2016
Last edited: 16th Mar 2017
System: Chest
Inclusion in quiz mode: Included

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