Left lower lobe collapse - sail sign

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

Cough and shortness of breath.

Patient Data

Age: 65 years
Gender: Female

The lungs are hyperinflated with relatively flat diaphragms - a sign of pulmonary emphysema. There is a dense triangular opacity overlying the cardiac shadow with increased lucency of the left upper zone relative to the right upper zone. This is the "sail sign" of left lower lobe collapse with subsequent left upper lobe hyper-expansion.

Annotated image

Red triangle highlights the sail sign of left lower lobe collapse. 

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