Right middle lobe collapse

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Headache, fever.

Patient Data

Age: 40 years
Gender: Male
x-ray

Right middle lobe collapse. Patchy right lower lobe airspace opacity with air bronchograms in keeping with infectious change. 

x-ray

Lateral projection confirms RML collapse. 

Case Discussion

  • right middle lobe collapse can be difficult to pick on a frontal projection only
  • in young patients, the most common cause would be a sputum plug

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