Presentation
Found unconscious secondary to drug overdose. Clinical suspicion of aspiration.
Patient Data
Age: 30 years
Gender: Male
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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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