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Collapsed Lung on Chest X-Ray: Radiographic Signs of Asymmetry

Unilateral lung collapse (atelectasis) on PA chest radiograph shows:

  • Hyperlucency (blackness) on affected side (less tissue attenuation).
  • Volume loss: Elevated hemidiaphragm, shifted mediastinum/heart toward collapse.
  • Tracheal deviation toward affected side.
  • Diminished/absent lung markings ipsilaterally; vessels may appear crowded.
  • Elevated hilum on collapsed side.
  • Rib crowding (narrowed intercostal spaces).

These signs differentiate collapse from consolidation (which shows opacity/air bronchograms).

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