apical zone
The apical zone is one of the four chest radiograph zones and an important location for missed diagnoses when reporting a frontal chest radiograph and makes up one of the "check areas". It is sometimes thought of as a subdivision of the upper zone.
Radiographic features
Plain radiograph
- portion of the lungs that lie above the inferior margin of the clavicles on a frontal chest radiograph (see Figure 1)
Related pathology
The apices and upper zones are preferentially affected by pathology that is related to inhalation. The upper portion of the lungs have a positive ventilation mismatch when compared to the bases, where there is preferential perfusion. Common conditions involving the apical zone include:
- sarcoidosis
- allergic bronchopulmnary aspergillosis (ABPA)
- extrinsic allergic alveolitis
- pulmonary tuberculosis
- radiotherapy changes
Siehe auch:
- Sarkoidose
- pulmonale Tuberkulose
- Röntgen-Thorax
- Allergische bronchopulmonale Aspergillose
- chest radiograph zones
- Lunge
und weiter:
Assoziationen und Differentialdiagnosen zu apical zone: