{"url":"/signup-modal-props.json?lang=us\u0026email="}. A consolidation could be described as “patchy”, “homogenous”, or generalised”. Right middle lobe collapse (or simply termed middle lobe collapse) has distinctive features, but can be subtle on frontal chest radiographs.. For a general discussion please refer to the article on lobar collapse.. He had a history of recurrent bilateral pleural effusion secondary to fluid overload and hence multiple attempts of thoracocentesis were performed. Strictly speaking, the term consolidation does not imply any particular aetiology or pathology. Right upper lobe consolidation representing pulmonary edema may occur in patients with acute myocardial infarction resulting in papillary muscle rupture and mitral valve prolapse; it occurs because a jet of regurgitant blood is directed into the right superior pulmonary vein. Related Case Studies. This page was last edited on 11 November 2020, at 17:38. Chest Radiology. Acute pneumonia is the commonest cause but not the only cause of consolidation. Chest x-ray showing patchy opacification on the upper right and mid-zone lung with fibrotic shadows, as well as bilateral hilar lymphadenopathy. The smooth contour of area of consolidation is typical for ’rounded pneumonia’ most often seen in children. normal (clear and distinct) right hemidiaphragm contour (c.f. Case 1. This 70 year old man presented with haemoptysis. Right upper lobe (RUL) consolidation is a relatively straightforward diagnosis. A: Normal chest X-ray.B: Abnormal chest X-ray with consolidation from pneumonia in the right lung, middle or inferior lobe (white area, left side of image). Diagnosis: Right Upper Lobe Consolidation, Rounded Pneumonia, with Air Bronchograms – Community Acquired Pneumonia. The RUL is not hidden behind the heart or diaphragm and is relatively uncomplicated except perhaps by the presence of an azygous lobe (normal anatomical variant). The upper lobes are frequently partially obscured by upper arm soft tissues on the lateral view when the hands on head, elbows forward technique is used. Subsequently the radiograph was reported as right upper lobe consolidation by the radiologist. There is abnormal opacity within the RUL abutting the horizontal fissure. The horizontal fissure is elevated. Consolidation or infiltrate can be dense or patchy and might have irregular, ill-defined, or hazy borders. A consolidation may be described as focal or by the lobe or segment of lobe affected. These findings were seen more in the left upper lobe than the right upper lobe . Figure 3. USG consolidation • Sonography of the left lung reveals loss of normal aeration of the lung parenchyma with echogencity and texture similar to that of the spleen below. An urgent contrast enhanced computed tomography (CT) thorax was arranged and noted a loculated right apical homogeneous hypodense pleural effusion (10 Hounsfield Unit) measuring 9.4×11.3×19.4 cm (Figure 2A,B), associated with adjacent collapsed-consolidation of the apical segment of the right upper lobe. Pulmonary consolidation; Pneumonia as seen on chest X-ray. There was also mild deviation of the trachea to the right, and both mid and lower lung fields were clear with no hilar adenopathy. The left image is taken with the patient's arms forward resulting in the soft tissues of the upper arm overlying the upper lobes. Chest computed tomography demonstrating centrilobular nodules confluent to the right in … Consolidation of the lung is simply a “solidification” of the lung tissue due to accumulation of solid and liquid material in the air spaces that would have normally been filled by gas. W. Richard Webb, Charles B. Higgins. It is sometimes useful to perform an apical lordotic view to help demonstrate equivocal pathological appearances in the upper lobes. The list of causes of consolidation is broad and includes: 1. pneumonia 2. adult respiratory distress syndrome (ARDS) 3. interstitial pneumonias 4. pneumonitis 5. sarcoidosis Right middle lobe consolidation in a patient with lobar pneumonia ... Obscuration of the ascending aorta, suggesting right upper lobe consolidation . Consolidation refers to the alveolar airspaces being filled with fluid (exudate/transudate/blood), cells (inflammatory), tissue, or other material. Exam VS T39.1 (rectal), P125, R45, BP 75/35, oxygen saturation 98% in room air. Chest radiograph showing consolidation in the right upper lobe bulging the fissure. Jannette Collins, Eric J. Stern. Right lung consolidation. 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