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Peripheral upper lobe collapse simulating pleural effusion.

S H Park1, Y W Bahk

  • 1Department of Radiology, St. Mary's Hospital, Catholic University Medical College, Seoul, Korea.

Der Radiologe
|November 1, 1991
PubMed
Summary
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Segmental lung collapse in adults can mimic pleural effusion. This study reports two unique cases associated with pneumothorax, differing from prior findings.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Radiology

Background:

  • Pleural effusion is a common condition characterized by fluid accumulation in the pleural space.
  • Pneumothorax, or collapsed lung, occurs when air enters the pleural space.
  • Segmental lung collapse is a less common condition involving collapse of a lung segment.

Observation:

  • Two adult patients presented with segmental collapse of the upper lobe.
  • This collapse mimicked an apical pleural effusion on imaging.
  • The collapse was observed in association with pneumothorax.

Findings:

  • The reported cases are unique as the peripheral collapse occurred with pneumothorax but without pleural adhesions.
  • Unlike previously reported cases, the collapse was segmental, not lobar.

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  • These occurrences were observed in adult patients, differing from pediatric cases.
  • Implications:

    • This presentation highlights the importance of considering segmental lung collapse in the differential diagnosis of apical opacities, especially in adults with pneumothorax.
    • Accurate diagnosis is crucial for appropriate management and to avoid misinterpretation as pleural effusion.
    • Further research may elucidate the specific mechanisms leading to segmental collapse in adults with pneumothorax.