대한흉부영상의학회 Korean Society of Thoracic Radiology GuerBet

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대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
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Weekly Chest CasesArchive of Old Cases

Case No : 227 Date 2002-03-02

  • Courtesy of Kun-il Kim, M.D. / Pusan National University Hospital, Pusan, Korea
  • Age/Sex 16 / F
  • Chief ComplaintProductive cough since childhood
  • Figure 1
  • Figure 2

Diagnosis With Brief Discussion

Diagnosis
Bilobar Atelectasis (RML and LLL)
Radiologic Findings
Chest posterioranterior radiograph shows obliteration of right cardiac border and descending thoracic aorta. Note small left hilum and attenuated vascular markings of left lung with no visualization of normal sized left lower lobar artery. Air-bronchogram in LLL atelectasis is seen. Lateral radiograph shows downward displacement of minor fissure, which is compatible with right middle lobe atelectasis. However, findings compatible with LLL atelectasis could not be seen probably due to the characteristic of total collapse of LLL, which mimic posterior mediastinal lesion on P-A radiograph.

CT scan confirms atelectasis of two lobes.

Bronchoscopy showed no abnormality on central bronchi.
Right middle and left lower lobe were supposed to be peripheral type caused by recurrent and/or long-standing infection since childhood.
Brief Review
Please refer to Case 46(trilobar atelectasis)
References
Keywords
Lung, Non-infectious inflammation,

No. of Applicants : 18

▶ Correct Answer : 2/18,  11.1%
  • - Masan Yeonse Hospital, Korea Sang Hee Lee
  • - Sungji Hospital, Korea Jung Hee Kim
▶ Semi-Correct Answer : 16/18,  88.9%
  • - Ansung Public Health Center, Il-Jook branch, Korea Joon Woo Lee
  • - Bharat Scans, Chennai, India R G Gopinath
  • - Choong-ju Hospital Konkuk University, Korea Chang Hee Lee
  • - CHU Nancy-Brabois, France Denis Regent
  • - Daegu Catholic University Hospital, Korea Hyung-seok Lee
  • - Daejeon Sun Hospital, Korea Dong Jip Na
  • - Dong-eui Medical Center, Korea Ha Jong Lee
  • - Ewha Womans' University, Mokdong Hospital, Korea Kyung Soo Cho
  • - Gochang Hospital, Korea Jiyong Rhee
  • - Harasanshin hospital, Fukuoka, Japan Shunya Sunami
  • - Ilsan Gospel Hospital, Korea Hoe Seok Jung
  • - Korea Cancer Center Hospital, Korea Donghee Park
  • - Ospedale di Jesi, Italy Giancarlo Passarini
  • - Pulmonary Medicine Doctor, Korea Jae-Joon Yim
  • - Seongnam Inha Hospital, Korea Seong Su Byun
  • - Stedelijk OLV Ziekenhuis Mechelen, Belgium Ivan Pilate
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Current Editor : Sung Shine Shim, MD, PhD. Email : sinisim@ewha.ac.kr

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