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Radiology · Chest imaging
Sample itemWhat sign can indicate left lower-lobe collapse on frontal chest radiograph?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Loss of left hemidiaphragm silhouette
Left lower-lobe opacity may silhouette the left hemidiaphragm because the collapsed lobe lies adjacent to it in the posterior lower chest.
Option by option
A. Bilateral hilar enlargement only
Hilar enlargement is nonspecific.
B. Free subdiaphragmatic air
Free air indicates abdominal perforation.
C. Loss of left hemidiaphragm silhouette (correct)
Correct: lost diaphragmatic border helps localize left lower-lobe disease.
D. Right apical pleural cap
Apical cap has a different cause.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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