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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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