CXR show (林煒莎醫師)

 The aortic knob becomes visible with LUL collapse.

 ==> Superior segment of LLL (LB6) hyperinflation –produces a crescent of lucency along the mediastinum and aortic knuckle

 

PA view and Lateral view

1.Upper part of the major fissure: downward  

2.Lower part of the major fissure: backward

3.The collapsed lobe: Downward, posteriorly, and medially. (向下、向後、向內)

4.Shadow of L’t diaphragm is lost along  the airless lobe

5.Loss of D-aorta shadow at heart level

LLL collapse特別的表徵:

1.Flat waist sign(紅色箭頭)

正常左邊的心臟邊緣成凹陷狀,而當severe LLL collapse時,心臟還會作輕微的right anterior oblique rotation,以致於左側心臟的normal concavity消失,因而呈平坦狀。

2.Top-of-knob sign

當severe LLL collapse時,anterior junctional line會向左位移,在left upper mediastinum可見一條幾乎垂直的vertical interface,會跨過aortic knob

 

RUL Collapse

1.Elevation of minor fissure

2.Complete RUL collapse:看起來就像只有widening of the superior mediastinum

3.Indirect sign (hilum elevation) may be evident

 

Specific signs of RUL collapse

1.Reverse S sign(Golden S sign)紅色箭頭

2.J-P sign

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