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you can see A paraaortic crescent of hyperlucency with sharp margins that extend from the apex of the left hemithorax to the left superior pulmonary vein.
This appearance may be seen on left upper lobe collapse and called : LUFTSICHEL sign ( A german word ; Luft = Air and Sichel = Sickle ) . The luftsichel sign represents the hyperexpanded superior segment of the left lower lobe interposed between the atelectatic left upper lobe and the aortic arch.

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Comment by margo refaat nasry on March 2, 2011 at 10:00am

Thanks for this nice case

Comment by M.T Niknejad on February 9, 2011 at 2:48pm
thanks for your useful guide my prof rad
Comment by saeed rad on February 9, 2011 at 12:55pm
Left lateral chest x-ray is much more significant than CT in this case. It is nice however. Thank you.
Comment by M.T Niknejad on February 8, 2011 at 3:33pm
thanks a lot for comments ...
Comment by Adriano Liguori on February 7, 2011 at 12:27pm
Very good!
Comment by Rick Robertson on February 7, 2011 at 10:34am
thanks Dr. Niknejad!  After 20+ years and unknown thousands of chest radiographs taken, I can't recall ever seeing this.
Comment by M.T Niknejad on February 7, 2011 at 10:10am
Thank you ...
Comment by Bashar F. Aboyaaqob on February 6, 2011 at 6:02pm

Nice case ,thanks.

Comment by M.T Niknejad on February 5, 2011 at 3:41pm
thanks for comment dear dr nemattalla ...
Comment by Wael Nemattalla on February 5, 2011 at 3:28pm

Thanks for this case Dr. Niknejad.

Tip: left upper lobe collapse may be not evident on PA chest radiograph and evident only by lateral radiograph as antero-superior displacement of longitudinal fissure.

 

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