right middle lobe consolidation

Right middle lobe consolidation refers to consolidation in part (incomplete) or all (complete) of the right middle lobe.

Pathology

Consolidation refers to the alveolar airspaces being filled with fluid (exudate/transudate/blood), cells (inflammatory), tissue, or other material.

The list of causes of consolidation is broad and includes:

Radiographic features

Consolidation is usually obvious on CT with the anatomical location easy to define through visualization of the pleural fissures, however features can be subtle on chest radiography.

Plain radiograph

Features of right middle lobe consolidation on CXR include:

General considerations

It must be remembered that the homogeneity of the consolidation will be influenced by any underlying lung disease.

Occasionally with complete lobar consolidation, there may be an increased volume of the affected lobe, rather than the more frequent collapse. When the fissures are outwardly convex, the appearance is referred to as the bulging fissure sign.

A mnemonic to remember the general features of consolidation is ABC.

Differential diagnosis

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