Right middle lobe collapse

Discussion:

When the right middle lobe collapses, it does so medially, with the collapsed lobe abutting the right atrium, so that the right heart border silhouette is effaced.

In a middle-aged patient, chest CT and bronchoscopy are the typical next investigations.

In a younger patient, the underlying cause is unlikely to be malignant, and therefore a more conservative management approach may be possible.

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