Our last few #PulmPEEPs radiology rounds have been CT-centric, so today we’re going back to some useful CXR signs!
Our patient is admitted to the ICU for hypoxemia and has poor compliance and low P:F ratio after intubation
Our patient is admitted to the ICU for hypoxemia and has poor compliance and low P:F ratio after intubation
2/ On reviewing the CXR there is concern for lobar collapse in the ________ lobe
The patient has RUL collapse and a Reverse S Sign or Golden S Sign raising concern for a mass or space occupying lesion obstructing the right upper lobe bronchus
On a repeat CXR the Reverse S sign is less visible but there is another sign of lobar collapse visible
Here we see a juxtaphrenic peak. This is most common in RUL collapse and anatomically can occurs for multiple reasons, most commonly an accessory fissure pulled upwards with volume loss. Film is rotated but also volume loss and shifting of the mediastinum to the right
Check out our website pulmpeeps.com for references about these and other classic chest radiology signs, and a repository of our prior Radiology Rounds posts!
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