Lee K S, Logan P M, Primack S L, Müller N L
Department of Radiology, University of British Columbia, Vancouver, Canada.
AJR Am J Roentgenol. 1994 Jul;163(1):43-7. doi: 10.2214/ajr.163.1.8010243.
Combined lobar atelectasis refers to the condition in which the volumes of two lobes of the lung are decreased simultaneously. Because the right lung has three lobes, three combinations of combined atelectasis are possible. The most frequent combination is that of middle and lower lobar atelectasis caused by obstruction of the bronchus intermedius [1,2]. Combined atelectasis of the upper and middle lobes is uncommon, although it occurs more frequently than anticipated [1]. The least common combination is that of right upper and lower lobe atelectasis. Awareness of the radiographic and CT findings of combined lobar atelectasis of the right lung is important in making the correct diagnosis. In this pictorial essay, we illustrate the spectrum of radiographic and CT features of this condition.
联合肺叶肺不张是指肺的两个肺叶体积同时减小的情况。由于右肺有三个肺叶,联合肺不张有三种组合可能。最常见的组合是中间支气管阻塞导致的中叶和下叶肺不张[1,2]。上叶和中叶联合肺不张并不常见,尽管其发生率比预期的要高[1]。最不常见的组合是右上叶和下叶肺不张。认识右肺联合肺叶肺不张的影像学和CT表现对于做出正确诊断很重要。在这篇图文文章中,我们展示了这种情况的影像学和CT特征谱。