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Lobar pneumonia is a form of pneumonia characterized by inflammatory exudate within the intra-alveolar space resulting in consolidation that affects a large and continuous area of the lobe of a lung. [1] [2] It is one of three anatomic classifications of pneumonia (the other being bronchopneumonia and atypical pneumonia).
Atelectasis is the partial collapse or closure of a lung resulting in reduced or absence in gas exchange. It is usually unilateral, affecting part or all of one lung. [2] It is a condition where the alveoli are deflated down to little or no volume, as distinct from pulmonary consolidation, in which they are filled with liquid.
On a chest X-ray, the sail sign is a radiologic sign that suggests left lower lobe collapse. [1] In children, however, a sail sign could be normal, reflecting the shadow of the thymus. [2] The thymic sail sign or spinnaker-sail sign is due to elevation of the thymic lobes in the setting of pneumomediastinum. [3]
Juxtaphrenic peak sign is a radiographic sign seen in lobar collapse or after lobectomy of the lung. [1] [2] This sign was first described by Katten and colleagues in 1980, and therefore, it is also called Katten's sign. [3] The juxtaphrenic peak is most commonly caused due to the traction from the inferior accessory fissure.
Very rarely, both lungs may be affected by a pneumothorax. [6] It is often called a "collapsed lung", although that term may also refer to atelectasis. [1] A primary spontaneous pneumothorax is one that occurs without an apparent cause and in the absence of significant lung disease. [3]
Percussion is performed in a systematic matter, from the upper chest to the lower ribs, and resonance is compared between the left and right sides of the chest. This is done from the front and back of the thorax. [14] Percussion over different body tissues results in five common "notes". [14] Resonance: Loud and low pitched. Normal lung sound. [15]
Since laboratory testing, imaging, and bronchoalveolar lavage results are often non-specific, guidelines recommend surgical biopsy to diagnose desquamative interstitial pneumonia if high-resolution computed tomography does not reveal classic signs of interstitial pneumonia. [17] A definitive diagnosis of DIP relies on a lung biopsy. [18]
High-resolution CT image showing ground-glass opacities in the periphery of both lungs in a patient with COVID-19 (red arrows). The adjacent normal lung tissue with lower attenuation appears as darker areas. Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs.