Chest radiographs are usually sufficient for detection and monitoring of localized edema, which appears as perihilar homogeneous airspace consolidations in the right upper lobe. Lung Consolidation Definition. Consolidation may be patchy in distribution and involve only certain lobules of the lung although it can be widespread and affect entire lobes of the lung. Aspiration pneumonia often shows consolidation in those with a history of alcohol ... Differentiation of Right-Upper-Lobe Pneumonia from Bronchogenic ... As the name implies disease, right upper lobe pneumonia develops in the upper part of the right lung. Upper lobe pneumonia and its treatment. The right heart border (right atrial edge) is obscured; Consolidation (asterisk) is limited above by a crisp line, formed by the horizontal fissure It is considered a radiologic sign.Consolidation occurs through accumulation of inflammatory cellular exudate in the alveoli and adjoining ducts. To get this one right, you had to know that bronchial breath sounds are sometimes heard in patients with pneumonia. This medical condition means a solidification of your lung tissue and describes the filling of your lungs with liquid and solid material. Right middle lobe consolidation. The condition is marked by induration (swelling or hardening of normally soft tissue) of a normally aerated lung. Right upper lobe consolidation – CXR. Bronchoscopy was performed. Aspiration when upright may cause bilateral lower lung infiltrates. A CT scan of the chest showed significant right lower and upper lobe peripheral consolidation, representing either opportunistic infection or lymphomatous infiltrate. At the same time these fissures rotate towards the mediastinum, with the result that the right upper lobe packs against the mediastinum and lung apex. Just extremely worried this may be cancer or just the pneumonia. Bronchial breath sounds are normal when heard over the trachea. However, they did a chest X-ray a week ago and the radiologist said she had a mass like consolidation in upper right lobe and the Dr now wants to do a CT tomorrow to rule out a mass. Right upper lobe often shows consolidation in those with a history of alcohol misuse who aspirate in the prone position. Right upper lobe consolidation Right middle lobe consolidation Download Here Free HealthCareMagic App to Ask a Doctor. Hover on/off image to show/hide findings. Although the term ‘consolidation’ is often used loosely and associated with pneumonia, it can … Right middle lobe consolidation. Findings from pathologic examination were consistent with lymphomatous infiltrate. A regurgitant jet targeted at the orifice of the right upper pulmonary vein produces the increased IV pressure that promotes the development of edema. Flows this disease is hard. This 27 year old patient has a focus of consolidation in the upper zone of the right lung – we can deduce that it is in the right upper lobe because its inferior margin is the horizontal fissure (arrows). Lung CT is only very occasionally required. Related Case Studies. All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. It may be complete or incomplete. A pulmonary consolidation is a region of normally compressible lung tissue that has filled with liquid instead of air. Tap on/off image to show/hide findings. These liquids replace the air pockets that are normally present that would usually be filled by gas. However, if you hear bronchial breath sounds over the lung periphery, this is an abnormal finding. 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