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Right middle lobe syndrome

Key points


Persistent collapse/atelectasis of right middle lobe


Causes

Infection (most common)

Malignancy

Bronchiectasis


Imaging

Wedge shaped opacity on lateral XR and CT


Management

Lobectomy if physiotherapy not successful


References

Holcomb and Ashcraft’s Pediatric Surgery, 7th edition, 2020, Chapter 23 Acquired lesions of the Lung and Pleura


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