Gas sickle sign on straight X-ray images

This is an automatically translated article.

The article is professionally consulted by Master, Doctor Le Anh Viet - Radiologist - Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International Hospital.
The gas sickle sign on a straight X-ray is a serious condition because it impairs the exchange of oxygen and carbon dioxide in the lungs. Treatment depends on the cause and severity of the atelectasis.

1. What is the gas sickle sign on straight x-ray images?

Air sickle sign seen in lobar atelectasis, this is a mass that develops in an existing cavern or an area of ​​pneumonia that is necrotic and cavitation, which can create an air space between the contents and the wall of the cavity. for gas sickle images on straight radiographs . The internal mass is usually a fungal tumor.
This is a serious condition because it impairs the exchange of oxygen and carbon dioxide in the lungs. Treatment depends on the cause and severity of the atelectasis.

Hình ảnh liềm khí trên hình ảnh x quang chụp thẳng
Hình ảnh liềm khí trên hình ảnh x quang chụp thẳng

2. Causes of lobar atelectasis

Some of the following causes can cause lobar atelectasis:
● Obstruction in the airways: Obstruction is caused by mucus, foreign bodies in the airways, narrowing of the airways (due to tuberculosis ... ), Tumors in the airways, blood clots causing atelectasis in the lungs.
● Pressure outside the lungs: Chest trauma, pleural effusion, pneumonia, pneumothorax, pulmonary fibrosis, some large tumors can put pressure on the lungs.
● Factors that increase the risk of lobar atelectasis: Premature babies; lung disease (asthma, bronchiectasis , cystic fibrosis ); sleep does not change positions often; chest or abdominal surgery; anesthesia; shallow breathing due to abdominal pain or broken ribs; muscular dystrophy, spinal cord injury or neuromuscular disease; fat .

3. Methods of treatment

Treatment of lobar atelectasis depends on the cause. Specifically:
Small area atelectasis may not require treatment. Conversely, if it is a tumor, the main treatment is to remove or shrink the tumor with chemotherapy, surgery, or radiation.
● In some cases, the following drugs can be used to treat atelectasis: Acetylcysteine ​​(to loosen mucus); Bronchodilator inhaler (helps open the bronchial tubes, making breathing easier); DNase (clears the mucus plug in children with cystic fibrosis).
● Chest physiotherapy: Used to treat atelectasis such as: Clap on the chest in the collapsed area; practice deep breathing (spirometry is recommended); position the body so that the head is lower than the chest; supplemental oxygen, which can help ease shortness of breath.

Hình ảnh thùy trên phải bị xẹp do adenocarcinoma (ung thư biểu mô tuyến) mọc từ phế quản thùy trên
Hình ảnh thùy trên phải bị xẹp do adenocarcinoma (ung thư biểu mô tuyến) mọc từ phế quản thùy trên
Doctor Le Anh Viet has 07 years of experience working in the field of diagnostic imaging, performing well in diagnostic imaging techniques. Currently, the doctor is working at the Department of Diagnostic Imaging and Nuclear Medicine - Vinmec Times City International Hospital.
To register for a health examination at Vinmec International General Hospital, you can contact Vinmec Health System nationwide or register online HERE.
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