Sail sign of the chest

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Sail sign of the chest
Differential diagnosis left lower lobe collapse

On a chest X-ray, the sail sign is a radiologic sign that suggests left lower lobe collapse. [1] In children, however, a sail sign could be normal, reflecting the shadow of the thymus. [2]

The thymic sail sign or spinnaker-sail sign is due to elevation of the thymic lobes in the setting of pneumomediastinum. [3]

Related Research Articles

<span class="mw-page-title-main">Thymus</span> Endocrine gland

The thymus is a specialized primary lymphoid organ of the immune system. Within the thymus, thymus cell lymphocytes or T cells mature. T cells are critical to the adaptive immune system, where the body adapts to specific foreign invaders. The thymus is located in the upper front part of the chest, in the anterior superior mediastinum, behind the sternum, and in front of the heart. It is made up of two lobes, each consisting of a central medulla and an outer cortex, surrounded by a capsule.

<span class="mw-page-title-main">Caroli disease</span> Medical condition

Caroli disease is a rare inherited disorder characterized by cystic dilatation of the bile ducts within the liver. There are two patterns of Caroli disease: focal or simple Caroli disease consists of abnormally widened bile ducts affecting an isolated portion of liver. The second form is more diffuse, and when associated with portal hypertension and congenital hepatic fibrosis, is often referred to as "Caroli syndrome". The underlying differences between the two types are not well understood. Caroli disease is also associated with liver failure and polycystic kidney disease. The disease affects about one in 1,000,000 people, with more reported cases of Caroli syndrome than of Caroli disease.

<span class="mw-page-title-main">Temporal lobe</span> One of the four lobes of the mammalian brain

The temporal lobe is one of the four major lobes of the cerebral cortex in the brain of mammals. The temporal lobe is located beneath the lateral fissure on both cerebral hemispheres of the mammalian brain.

<span class="mw-page-title-main">Thymoma</span> Medical condition

A thymoma is a tumor originating from the epithelial cells of the thymus that is considered a rare neoplasm. Thymomas are frequently associated with neuromuscular disorders such as myasthenia gravis; thymoma is found in 20% of patients with myasthenia gravis. Once diagnosed, thymomas may be removed surgically. In the rare case of a malignant tumor, chemotherapy may be used.

<span class="mw-page-title-main">Thymol</span> Chemical compound found in plants including thyme

Thymol, C10H14O, is a natural monoterpenoid phenol derivative of p-Cymene, isomeric with carvacrol. It occurs naturally in the oil of thyme, and it is extracted from Thymus vulgaris, ajwain, and various other plants as a white crystalline substance of a pleasant aromatic odor and strong antiseptic properties. Thymol also provides the distinctive, strong flavor of the culinary herb thyme, also produced from T. vulgaris. Thymol is only slightly soluble in water at neutral pH, but it is extremely soluble in alcohols and other organic solvents. It is also soluble in strongly alkaline aqueous solutions due to deprotonation of the phenol. Its dissociation constant (pKa) is 10.59±0.10. Thymol absorbs maximum UV radiation at 274 nm.

<span class="mw-page-title-main">Mediastinum</span> Central part of the thoracic cavity

The mediastinum is the central compartment of the thoracic cavity. Surrounded by loose connective tissue, it is a region that contains vital organs and structures within the thorax, namely the heart and its vessels, the esophagus, the trachea, the vagus, phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph nodes of the central chest.

<i>Thymus serpyllum</i> Species of plant

Thymus serpyllum, known by the common names of Breckland thyme, Breckland wild thyme, wild thyme, creeping thyme, or elfin thyme, is a species of flowering plant in the mint family, Lamiaceae. It is a low, usually prostrate subshrub forming creeping stems up to 10 cm (4 in) tall. The oval evergreen leaves are up to 8 mm. The strongly scented flowers are either lilac, pink-purple, magenta, up to 6 mm long and produced in clusters.

<span class="mw-page-title-main">Pneumomediastinum</span> Abnormal presence of gas in the thorax

Pneumomediastinum is pneumatosis in the mediastinum, the central part of the chest cavity. First described in 1819 by René Laennec, the condition can result from physical trauma or other situations that lead to air escaping from the lungs, airways, or bowel into the chest cavity. In underwater divers it is usually the result of pulmonary barotrauma.

<span class="mw-page-title-main">Hamman's syndrome</span> Medical condition

Hamman's syndrome, also known as Macklin's syndrome, is a syndrome of spontaneous subcutaneous emphysema and pneumomediastinum, sometimes associated with pain and, less commonly, dyspnea, dysphonia, and a low-grade fever.

Hamman's sign is a medical sign consisting of a crunching, rasping sound, synchronous with the heartbeat, heard over the precordium in spontaneous mediastinal emphysema. It is thought to result from the heart beating against air-filled tissues.

<span class="mw-page-title-main">CD83</span> Human protein

CD83 is a human protein encoded by the CD83 gene.

<span class="mw-page-title-main">Subcutaneous emphysema</span> Abnormal presence of air or gas under the skin

Subcutaneous emphysema occurs when gas or air accumulates and seeps under the skin, where normally no gas should be present. Subcutaneous refers to the subcutaneous tissue, and emphysema refers to trapped air pockets. Since the air generally comes from the chest cavity, subcutaneous emphysema usually occurs around the upper torso, such as on the chest, neck, face, axillae and arms, where it is able to travel with little resistance along the loose connective tissue within the superficial fascia. Subcutaneous emphysema has a characteristic crackling-feel to the touch, a sensation that has been described as similar to touching warm Rice Krispies. This sensation of air under the skin is known as subcutaneous crepitation, a form of crepitus.

<span class="mw-page-title-main">Toddler's fracture</span> Medical condition

Toddler's fractures are bone fractures of the distal (lower) part of the shin bone (tibia) in toddlers and other young children. The fracture is found in the distal two thirds of the tibia in 95% of cases, is undisplaced and has a spiral pattern. It occurs after low-energy trauma, sometimes with a rotational component.

<span class="mw-page-title-main">Respiratory bronchiolitis</span> Medical condition

Respiratory bronchiolitis is a lung disease associated with tobacco smoking. In pathology, it is defined by the presence of "smoker's macrophages". When manifesting significant clinical symptoms it is referred to as respiratory bronchiolitis interstitial lung disease (RB-ILD).

<span class="mw-page-title-main">Azygos lobe</span>

In human anatomy, an azygos lobe is a normal anatomical variation of the upper lobe of the right lung. It is seen in 0.3% of the population. Embryologically, it arises from an anomalous lateral course of the azygos vein, in a pleural septum within the apical segment of the right upper lobe or in other words an azygos lobe is formed when the right posterior cardinal vein, one of the precursors of the azygos vein, fails to migrate over the apex of the lung and penetrates it instead, carrying along two pleural layers as the azygous fissure, that invaginates into the upper portion of the right upper lobe.

<span class="mw-page-title-main">Ground-glass opacity</span> Radiologic sign on radiographs and computed tomography scans

Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis, or a neoplastic process. When a substance other than air fills an area of the lung it increases that area's density. On both x-ray and CT, this appears more grey or hazy as opposed to the normally dark-appearing lungs. Although it can sometimes be seen in normal lungs, common pathologic causes include infections, interstitial lung disease, and pulmonary edema.

<i>Thymus pulegioides</i> Species of flowering plant

Thymus pulegioides, common names broad-leaved thyme or lemon thyme, is a species of flowering plant in the family Lamiaceae, native to Europe. Growing to 5–25 cm (2–10 in) tall by 25 cm (10 in) wide, it is a small spreading subshrub with strongly aromatic leaves, and lilac pink flowers in early summer. The specific epithet pulegioides highlights its similarity to another species within Lamiaceae, Mentha pulegium (pennyroyal).

<span class="mw-page-title-main">Adenomyomatosis</span> Medical condition

Adenomyomatosis is a benign condition characterized by hyperplastic changes of unknown cause involving the wall of the gallbladder.

Juxtaphrenic peak sign is a radiographic sign seen in lobar collapse or after lobectomy of the lung. This sign was first described by Katten and colleagues in 1980, and therefore, it is also called Katten's sign. The juxtaphrenic peak is most commonly caused due to the traction from the inferior accessory fissure. The prevalence of the juxtaphrenic peak sign increases gradually during the weeks after lobectomy of the lung.

The double bronchial wall sign is a radiological finding observed in cases of pneumomediastinum, a condition characterized by the presence of air within the mediastinum.

References

  1. Bejvan S, Godwin J (1996). "Pneumomediastinum: old signs and new signs". AJR Am J Roentgenol. 166 (5): 1041–8. doi:10.2214/ajr.166.5.8615238. PMID   8615238.
  2. "THYMIC SAIL SIGN". www.mypacs.net.
  3. "Pneumomediastinum Revisited" July 2000 RadioGraphics, 20, 1043-1057