On the chest x-ray (Figure 1-C); a cavitary lesion was present in the left lung middle zone and right costophrenic
sinus was blunted.
Pleural effusion and left costophrenic
sinus were evaluated on the 5th postoperative day by the same radiologist.
99) The perilymphatic distribution, lack of costophrenic
angle-sparing, thin walls of the cysts, and monotonous size and shape of the cysts all distinguish LAM from LCH.
Since the posterior costophrenic
angle is lower in position in the hemithorax than the lateral costophrenic
angle, small pleural effusions typically cause blunting of the posterior costophrenic
angle on the lateral chest radiograph before they cause blunting of the lateral costophrenic
angle on the PA chest radiograph.
Langerhans-cell histiocytosis is best characterized by preservation of lung volume with reticulonodular opacities in the upper- and middle-lung zones of a smoking patient with sparing of the costophrenic
In the supine position, the mass moved superiorly from the right costophrenic
A chest radiograph (Figure 1) showed pleural thickening in the region of the costophrenic
sulcus, enlargement of the hilar and paratracheal lymph nodes, and a mass in the right upper lobe.
Chest radiography at admission was remarkable only for the presence of minimal blunting of both costophrenic
The postoperative course was complicated by persistent fever and a fluid collection in the left costophrenic
His vital signs were unremarkable during our consultation, and the physical examination was notable for marked hepatomegaly with liver edge palpable approximately 9 cm below the costophrenic
The second bullet had entered the back at the level of the T4 vertebra to the left of midline and was seen lying in the right costophrenic
recess on a chest film (Figs.
Decortication of the lower lobe, which had collapsed totally into the posterior costophrenic
sinus, was also done, followed by reexpansion.