CXR-Bulging-Sagging Fissure Sign

Definition

  • Bulging of the minor fissure below its normal, roughly horizontal position at the level of the 4th rib anteriorly) due to increased volume of the RUL

Etiology


Diagnosis

Bulging-Sagging Fissure Sign


Prognosis

  • Bulging fissures have no prognostic significance

References

  • The diagnostic and prognostic significance of bulging fissures in acute lobar pneumonia. Aust NZ J Med 1988; 18:130-133
  • Complications of Klebsiella pneumoniae: CT evaluation. J Comput Assist Tomogr 1995; 19:176-181
  • Guidelines for the management of adults with community-acquired pneumonia: diagnosis, assessment of severity, antimicrobial therapy, and prevention. Am J Respir Crit Care Med 2001; 163:1730-1754
  • The pathophysiology and treatment of sepsis. N Engl J Med 2003; 348:138-150
  • Treating patients with severe sepsis. N Engl J Med 1999; 340:207-214