Right upper lobe collapse

Case contributed by Dr Bilal Vanlioglu

Presentation

Found unconscious secondary to drug overdose. Clinical suspicion of aspiration.

Patient Data

Age: 30 years
Gender: Male
X-ray

Chest

Right upper lobe opacification, suggestive of collapse.

Elevated right hemidiaphragm, horizontal fissure and right hilum. Tracheal shift to the right (ipsilateral shift).

Crowding of the right ribs. 

Case Discussion

This case has many of the hallmarks of RUL collapse. In this clinical context it is likely to be due to aspiration given drug overdose and patient demographics. However in older and at risk patients, endobronchial obstructing mass needs to be excluded. 

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Case information

rID: 59939
Published: 15th Dec 2019
Last edited: 15th Dec 2019
System: Chest
Inclusion in quiz mode: Included
Institution: Liverpool Hospital

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