Right upper lobe collapse

Case contributed by Chris Newman
Diagnosis certain

Presentation

Productive cough and shortness of breath.

Patient Data

Age: 55 years
Gender: Female
x-ray
  • opacity within the right upper medial aspect of the hemithorax
  • elevation and bowing of the horizontal fissure (Golden S sign)
  • elevation of the right hilum
  • tracheal deviation to the right
 

Case Discussion

Classic case of right upper lobe collapse. A RANZCR exam favorite.

In an older patient an underlying obstructing mass lesion requires exclusion. This patient went onto have a CT at another institution, which confirmed an obstructing lesion.

In a young patient, mucus plugging is a common cause.

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