Rounded Atelectasis With Atypical Computed Tomography Findings

Authors: Younis, Walid G.1; Dernaika, Tarek A.1; Jones, Kellie R.1; Kinasewitz, Gary T.1; Keddissi, Jean I.2

Source: Respiratory Care, Volume 51, Number 7, July 2006 , pp. 761-763(3)

Publisher: The Journal Respiratory Care Company

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Abstract:

Rounded atelectasis is atelectasis of the peripheral part of the lung, typically in contact with thickened pleura, featuring characteristic computed tomography findings. In this case, a 61-year-old man with history of asbestos exposure presented with a right-middle-lobe nodule on chest radiograph, with computed tomography findings suspicious for neoplasm. The patient underwent surgical resection, which revealed rounded atelectasis. Our case raises a question about the sensitivity of radiographic criteria used in identifying rounded atelectasis, and it emphasizes the need to keep rounded atelectasis in the differential diagnosis of a single pulmonary nodule in a patient with a history of asbestos exposure.

Keywords: ATELECTASIS; ASBESTOS; PLEURAL DISEASE; RADIOGRAPHY; THORACI

Document Type: Case report

Affiliations: 1: Section of Pulmonary and Critical Care Medicine, University of Oklahoma, Oklahoma City, Oklahoma 2: Section of Pulmonary and Critical Care Medicine, University of Oklahoma, Oklahoma City, Oklahoma, University of Oklahoma Medical Center, 920 SL Young Blvd, WP1310, Oklahoma City OK 73104;, Email: jeankeddissi@ouhsc.edu

Publication date: 2006-07-01

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