eMedicine Specialties > Pulmonology > Aspiration and Atelectasis

Atelectasis: Multimedia

Author: Tarun Madappa, MD, MPH, Attending, Department of Pulmonary and Critical Care Medicine, Elkhart General Hospital, Elkhart, Indiana
Coauthor(s): Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St Boniface General Hospital
Contributor Information and Disclosures

Updated: Aug 25, 2009

Multimedia

Atelectasis. Left lower lobe collapse. The opacit...Media file 1: Atelectasis. Left lower lobe collapse. The opacity is in the posterior inferior location.
Atelectasis. Left lower lobe collapse. The opacit...

Atelectasis. Left lower lobe collapse. The opacity is in the posterior inferior location.

Atelectasis. Loss of volume on the left side; an ...Media file 2: Atelectasis. Loss of volume on the left side; an elevated and silhouetted left diaphragm; and an opacity behind the heart, called a sail sign, are present.
Atelectasis. Loss of volume on the left side; an ...

Atelectasis. Loss of volume on the left side; an elevated and silhouetted left diaphragm; and an opacity behind the heart, called a sail sign, are present.

Atelectasis. Left upper lobe collapse showing opa...Media file 3: Atelectasis. Left upper lobe collapse showing opacity contiguous to the aortic knob, a smaller left hemithorax, and a mediastinal shift.
Atelectasis. Left upper lobe collapse showing opa...

Atelectasis. Left upper lobe collapse showing opacity contiguous to the aortic knob, a smaller left hemithorax, and a mediastinal shift.

Atelectasis. CT scan of a left upper lobe collaps...Media file 4: Atelectasis. CT scan of a left upper lobe collapse with a small pleural effusion.
Atelectasis. CT scan of a left upper lobe collaps...

Atelectasis. CT scan of a left upper lobe collapse with a small pleural effusion.

Complete atelectasis of the left lung. Mediastina...Media file 5: Complete atelectasis of the left lung. Mediastinal displacement, opacification, and loss of volume are present in the left hemithorax.
Complete atelectasis of the left lung. Mediastina...

Complete atelectasis of the left lung. Mediastinal displacement, opacification, and loss of volume are present in the left hemithorax.

Atelectasis. Right lower lobe collapse.Media file 6: Atelectasis. Right lower lobe collapse.
Atelectasis. Right lower lobe collapse.

Atelectasis. Right lower lobe collapse.

Atelectasis. Both right lower lobe and right midd...Media file 7: Atelectasis. Both right lower lobe and right middle lobe collapse. The left lung is hyperexpanded.
Atelectasis. Both right lower lobe and right midd...

Atelectasis. Both right lower lobe and right middle lobe collapse. The left lung is hyperexpanded.

Complete right lung atelectasis.Media file 8: Complete right lung atelectasis.
Complete right lung atelectasis.

Complete right lung atelectasis.

Atelectasis. A lateral chest x-ray film confirms ...Media file 9: Atelectasis. A lateral chest x-ray film confirms the diagnosis of right middle lobe collapse. The minor fissure moves down, and the major fissure moves up, leading to a wedge-shaped opacity.
Atelectasis. A lateral chest x-ray film confirms ...

Atelectasis. A lateral chest x-ray film confirms the diagnosis of right middle lobe collapse. The minor fissure moves down, and the major fissure moves up, leading to a wedge-shaped opacity.

Atelectasis. The left upper lobe collapses anteri...Media file 10: Atelectasis. The left upper lobe collapses anteriorly on a lateral chest x-ray film.
Atelectasis. The left upper lobe collapses anteri...

Atelectasis. The left upper lobe collapses anteriorly on a lateral chest x-ray film.

Atelectasis. Left upper lobe collapse. The top of...Media file 11: Atelectasis. Left upper lobe collapse. The top of the aortic knob sign is demonstrated.
Atelectasis. Left upper lobe collapse. The top of...

Atelectasis. Left upper lobe collapse. The top of the aortic knob sign is demonstrated.

Atelectasis. Left lower lobe collapse.Media file 12: Atelectasis. Left lower lobe collapse.
Atelectasis. Left lower lobe collapse.

Atelectasis. Left lower lobe collapse.

Atelectasis. Right middle lobe collapse shows obl...Media file 13: Atelectasis. Right middle lobe collapse shows obliteration of the right heart border.
Atelectasis. Right middle lobe collapse shows obl...

Atelectasis. Right middle lobe collapse shows obliteration of the right heart border.

Atelectasis. The azygous lobe of the right lung m...Media file 14: Atelectasis. The azygous lobe of the right lung may be mistaken for a collapsed right upper lobe.
Atelectasis. The azygous lobe of the right lung m...

Atelectasis. The azygous lobe of the right lung may be mistaken for a collapsed right upper lobe.

Atelectasis. Left lower lobe collapse. The sail s...Media file 15: Atelectasis. Left lower lobe collapse. The sail sign is obvious.
Atelectasis. Left lower lobe collapse. The sail s...

Atelectasis. Left lower lobe collapse. The sail sign is obvious.

Atelectasis. Left upper lobe collapse. The Luft S...Media file 16: Atelectasis. Left upper lobe collapse. The Luft Sichel sign is demonstrated clearly in this radiograph.
Atelectasis. Left upper lobe collapse. The Luft S...

Atelectasis. Left upper lobe collapse. The Luft Sichel sign is demonstrated clearly in this radiograph.

Atelectasis. Chest CT scan showing left upper lob...Media file 17: Atelectasis. Chest CT scan showing left upper lobe collapse.
Atelectasis. Chest CT scan showing left upper lob...

Atelectasis. Chest CT scan showing left upper lobe collapse.

Atelectasis. The right lower lobe collapses infer...Media file 18: Atelectasis. The right lower lobe collapses inferiorly and posteriorly.
Atelectasis. The right lower lobe collapses infer...

Atelectasis. The right lower lobe collapses inferiorly and posteriorly.

Atelectasis. Right lower lobe collapse without mi...Media file 19: Atelectasis. Right lower lobe collapse without middle lobe collapse, the right major fissure is shifted downward and is now visible.
Atelectasis. Right lower lobe collapse without mi...

Atelectasis. Right lower lobe collapse without middle lobe collapse, the right major fissure is shifted downward and is now visible.

Atelectasis. Right upper lobe collapse demonstrat...Media file 20: Atelectasis. Right upper lobe collapse demonstrating Golden sign of S.
Atelectasis. Right upper lobe collapse demonstrat...

Atelectasis. Right upper lobe collapse demonstrating Golden sign of S.

Atelectasis. Right middle lobe collapse showing o...Media file 21: Atelectasis. Right middle lobe collapse showing obliteration of the right heart border.
Atelectasis. Right middle lobe collapse showing o...

Atelectasis. Right middle lobe collapse showing obliteration of the right heart border.

Atelectasis. Right middle lobe collapse on a late...Media file 22: Atelectasis. Right middle lobe collapse on a lateral chest x-ray film.
Atelectasis. Right middle lobe collapse on a late...

Atelectasis. Right middle lobe collapse on a lateral chest x-ray film.

Atelectasis. Right upper lobe collapse and consol...Media file 23: Atelectasis. Right upper lobe collapse and consolidation.
Atelectasis. Right upper lobe collapse and consol...

Atelectasis. Right upper lobe collapse and consolidation.

Atelectasis. Right upper lobe collapse.Media file 24: Atelectasis. Right upper lobe collapse.
Atelectasis. Right upper lobe collapse.

Atelectasis. Right upper lobe collapse.

Atelectasis. Right upper lobe collapse.Media file 25: Atelectasis. Right upper lobe collapse.
Atelectasis. Right upper lobe collapse.

Atelectasis. Right upper lobe collapse.

Atelectasis. Left lower lobe collapse on posteroa...Media file 26: Atelectasis. Left lower lobe collapse on posteroanterior view.
Atelectasis. Left lower lobe collapse on posteroa...

Atelectasis. Left lower lobe collapse on posteroanterior view.

The left lower lobe collapses toward the posterio...Media file 27: The left lower lobe collapses toward the posterior and inferior aspects of the thoracic cavity; the atelectatic left lower lobe is present as a sail behind the cardiac shadow.
The left lower lobe collapses toward the posterio...

The left lower lobe collapses toward the posterior and inferior aspects of the thoracic cavity; the atelectatic left lower lobe is present as a sail behind the cardiac shadow.

More on Atelectasis

Overview: Atelectasis
Differential Diagnoses & Workup: Atelectasis
Treatment & Medication: Atelectasis
Follow-up: Atelectasis
Multimedia: Atelectasis
References

References

  1. Rosenbloom SA, Ravin CE, Putman CE, et al. Peripheral middle lobe syndrome. Radiology. 1983;149:17-21. [Medline][Full Text].

  2. Priftis KN, Mermiri D, Papadopoulou A, Anthracopoulos MB, Vaos G, Nicolaidou P. The role of timely intervention in middle lobe syndrome in children. Chest. Oct 2005;128(4):2504-10. [Medline].

  3. Chen HA, Lai SL, Kwang WK, Liu JC, Chen CH, Huang DF. Middle lobe syndrome as the pulmonary manifestation of primary Sjogren's syndrome. Med J Aust. Mar 20 2006;184(6):294-5. [Medline].

  4. Proto AV, Tocino I. Radiographic manifestations of lobar collapse. Semin Roentgenol. Apr 1980;15(2):117-73. [Medline].

  5. Kattan KR, Eyler WR, Felson B. The juxtaphrenic peak in upper lobe collapse. Semin Roentgenol. Apr 1980;15(2):187-93. [Medline].

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  8. Hendriks T, de Hoog M, Lequin MH, Devos AS, Merkus PJ. DNase and atelectasis in non-cystic fibrosis pediatric patients. Crit Care. Aug 2005;9(4):R351-6. [Medline].

  9. Kato K, Sato N, Takeda S, et al. Marked improvement of extensive atelectasis by unilateral application of the RTX respirator in elderly patients. Intern Med. 2009;48(16):1419-23. [Medline].

  10. Franken EA Jr, Klatte EC. Atypical (peripheral) upper lobe collapse. Ann Radiol (Paris). Jan-Feb 1977;20(1):87-93. [Medline].

  11. Herold CJ, Kuhlman JE, Zerhouni EA. Pulmonary atelectasis: signal patterns with MR imaging. Radiology. Mar 1991;178(3):715-20. [Medline].

  12. Proto AV. Lobar collapse: basic concepts. Eur J Radiol. Aug 1996;23(1):9-22. [Medline].

  13. Pryor JA. Physiotherapy for airway clearance in adults. Eur Respir J. Dec 1999;14(6):1418-24. [Medline].

  14. Reading M. Chest X-ray quiz. Lung atelectasis. Intensive Crit Care Nurs. Dec 2005;21(6):361-2. [Medline].

  15. Schindler MB. Treatment of atelectasis: where is the evidence?. Crit Care. Aug 2005;9(4):341-2. [Medline].

  16. Stark P. Round atelectasis: another pulmonary pseudotumor. Am Rev Respir Dis. Feb 1982;125(2):248-50. [Medline].

  17. Stark P, Leung A. Effects of lobar atelectasis on the distribution of pleural effusion and pneumothorax. J Thorac Imaging. Spring 1996;11(2):145-9. [Medline].

  18. Westcott JL, Cole S. Plate atelectasis. Radiology. Apr 1985;155(1):1-9. [Medline].

  19. Woodring JH, Reed JC. Radiographic manifestations of lobar atelectasis. J Thorac Imaging. Spring 1996;11(2):109-44. [Medline].

Further Reading

Keywords

atelectasis, incomplete expansion, diminished lung volume, pulmonary volume deficiency, lung deficiency, lung foreign body, lung tumor, mucus plugging, pleural effusion, pneumothorax, acute respiratory distress syndrome, ARDS, granulomatous disease, necrotizing pneumonia, bronchioalveolar cell carcinoma, right middle lobe syndrome, atelectatic lung tissue, bronchial obstruction, pulmonary atelectasis, obstructive atelectasis, lobar atelectasis, segmental atelectasis, nonobstructive atelectasis, relaxation atelectasis, passive atelectasis, compression atelectasis, space-occupying lesion of thorax, adhesive atelectasis, surfactant deficiency
 
decreased production of surfactant, inactivation of surfactant, cicatrization atelectasis, replacement atelectasis, chronic atelectasis, acute pneumonitis, chronic pneumonitis, rounded atelectasis, radiation pneumonitis, discoid atelectasis, subsegmental atelectasis, platelike atelectasis, pulmonary embolism, lower respiratory tract infection, postoperative atelectasis, plugs of tenacious sputum

endobronchial tumors, adenocarcinoma of breast, bronchogenic carcinoma, adenocarcinoma of thyroid, hypernephroma, melanoma, chronic tuberculosis, fungal infection, aspirated foreign body, malpositioned endotracheal tube, lymphadenopathy, aortic aneurysm, cardiac enlargement, emphysematous bulla, chest wall mass, pleural mass, intraparenchymal mass, loculated collections of pleural fluid, hyaline membrane disease, smoke inhalation

cardiac bypass surgery, uremia, prolonged shallow breathing, idiopathic pulmonary fibrosis, radiation fibrosis, asbestos pleural plaques

Contributor Information and Disclosures

Author

Tarun Madappa, MD, MPH, Attending, Department of Pulmonary and Critical Care Medicine, Elkhart General Hospital, Elkhart, Indiana
Tarun Madappa, MD, MPH is a member of the following medical societies: American College of Chest Physicians and American Thoracic Society
Disclosure: Nothing to disclose.

Coauthor(s)

Sat Sharma, MD, FRCPC, Professor and Head, Division of Pulmonary Medicine, Department of Internal Medicine, University of Manitoba; Site Director, Respiratory Medicine, St Boniface General Hospital
Sat Sharma, MD, FRCPC is a member of the following medical societies: American Academy of Sleep Medicine, American College of Chest Physicians, American College of Physicians-American Society of Internal Medicine, American Thoracic Society, Canadian Medical Association, Royal College of Physicians and Surgeons of Canada, Royal Society of Medicine, Society of Critical Care Medicine, and World Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Helen M Hollingsworth, MD, Director, Adult Asthma and Allergy Services, Associate Professor, Department of Internal Medicine, Division of Pulmonary and Critical Care, Boston Medical Center
Helen M Hollingsworth, MD is a member of the following medical societies: American Academy of Allergy Asthma and Immunology, American College of Chest Physicians, American Thoracic Society, and Massachusetts Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

CME Editor

Timothy D Rice, MD, Associate Professor, Departments of Internal Medicine and Pediatrics and Adolescent Medicine, Saint Louis University School of Medicine
Timothy D Rice, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Physicians
Disclosure: Nothing to disclose.

Chief Editor

Zab Mosenifar, MD, Director, Division of Pulmonary and Critical Care Medicine, Director, Women's Guild Pulmonary Disease Institute, Executive Vice Chair, Department of Medicine, Cedars Sinai Medical Center; Professor of Medicine, David Geffen School of Medicine at UCLA
Zab Mosenifar, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Federation for Medical Research, and American Thoracic Society
Disclosure: Nothing to disclose.

 
 
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