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Consolidation

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Fig. 4.28 Close-up of air bronchogram (left); close-up of air bronchogram analog created in an apple with a straw (right). See Fig. 4.29 for how this image was created

Figure 4.28 provides a magnified view of the above CXR alongside of an X-Ray of an apple with a straw through it (see Fig. 4.29 for experiment setup) that resembles an air bronchogram.

See also the Bronchial Wall Thickening Model in the airway section of this chapter.

Blood (Hemorrhage)

Case 4.8

Blunt force to lung tissue causes bruising as force does in many other soft tissue analogs. See Fig. 4.30 for an example of a contusion of the lung manifesting as a consolidation. This patient suffered a blast injury to the right side.

Findings: Contused right lung peripherally (just below proximal port of chest tube). Other findings include right hemopneumothorax, chest tube, metallic fragment from blast.

Pattern: Consolidation.

Differential Diagnosis: Lung contusion.

Diagnosis: Right lung contusion; in addition, traumatic hemopneumothorax (note the air-fluid level).

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4 Abnormal Lung Patterns

Fig. 4.29 Apple with straw through it on X-ray plate to create figure 4.28

(right image). The air in the straw contrasted the surrounding apple

Fig. 4.30 Consolidation representing hemorrhage (density highlighted by dotted oval). Additionally noted is chest tube, blast fragment, and hydropneumothorax (air-fluid level)