By Dr Deepu
Bulging
Fissure Sign
The
bulging fissure sign, it represents expansive lobar consolidation causing
fissural bulging or displacement by copious amounts of inflammatory exudate
within the affected parenchyma, seen in a chest x ray. It is classically associated with right upper
lobe consolidation due to Klebsiella pneumoniae , any form of pneumonia can
manifest the bulging fissure sign. The
prevalence of this sign is decreasing,because of prompt administration of
antibiotic therapy to patients with suspected pneumonia . The bulging fissure
sign is also less commonly detected in patients with hospital-acquired
Klebsiella pneumonia than in those with community-acquired Klebsiella infection
.
Other
diseases that manifest a bulging fissure
any space-occupying process in the lung, such
as
pulmonary
hemorrhage,
lung abscess, and
tumor
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