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Radiology Illustrated_ Chest Radiology ( PDFDrive ).pdf
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5 Comet Tail Sign

 

 

CT–Pathology Comparisons

Because of the pathogenetic association with pleural Þbrosis, RA usually occurs in the peripheral lung adjacent to the visceral pleura. Pathologic examination shows pleural Þbrosis overlying the abnormal lung parenchyma as well as invaginations of Þbrotic pleura into the region of collapse. The appearance suggests that retraction of collagen in the pleura as it matures is the cause of the collapse [8].

Patient Prognosis

RA usually remains stable over time; however, slow growth as well as diminution in size has been described [9].

References

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2.Chong S, Lee KS, Chung MJ, Han J, Kwon OJ, Kim TS. Pneumoconiosis: comparison of imaging and pathologic Þndings. Radiographics. 2006;26:59Ð77.

3. Kim GY, Park JY, Han JH, Kim TS, Kim JG. Rounded atelectasis: a brief case report. Korean J Pathol. 2003;37:279Ð81.

4.Cavazza A, Roggeri A, Rossi G, et al. Round atelectasis of the lung: clinicopathological study of 6 cases and review of the literature. Pathologica. 2003;95:50Ð6.

5.McHugh K, Blaquiere RM. CT features of rounded atelectasis. AJR Am J Roentgenol. 1989;153:257Ð60.

6.OÕDonovan PB, Schenk M, Lim K, Obuchowski N, Stoller JK. Evaluation of the reliability of computed tomographic criteria used in the diagnosis of round atelectasis. J Thorac Imaging. 1997;12:54Ð8.

7.Hansell DM, Bankier AA, MacMahon H, McLoud TC, Muller NL, Remy J. Fleischner Society: glossary of terms for thoracic imaging. Radiology. 2008;246:697Ð722.

8.Peacock C, Copley SJ, Hansell DM. Asbestos-related benign pleural disease. Clin Radiol. 2000;55:422Ð32.

9.Szydlowski GW, Cohn HE, Steiner RM, Edie RN. Rounded atelectasis: a pulmonary pseudotumor. Ann Thorac Surg. 1992;53:817Ð21.