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A pulmonary consolidation is a region of normally compressible lung tissue that has filled with liquid instead of air. [1] The condition is marked by induration [ 2 ] (swelling or hardening of normally soft tissue) of a normally aerated lung.
Anterior subpleural consolidations; Absence or reduction of lung sliding "Spared areas" of normal parenchyma; Pleural line abnormalities (irregular thickened fragmented pleural line) Nonhomogeneous distribution of B-lines (a characteristic ultrasound finding suggestive of fluid accumulation in the lungs) [21]
Large, prominent subpleural bullae. Spontaneous pneumothorax often results from rupture of such lesions. Honeycomb fibrosis is present in the subpleural lung parenchyma. In emphysema the spaces resulting from alveolar wall destruction have thin, delicate walls without intervening fibrosis and resemble the appearance of a spider web.
Consolidation or infiltrate can be dense or patchy and might have irregular, ill-defined, or hazy borders. Dense homogenous opacity in right, middle and lower lobe of primary pulmonary TB. Chest x-ray showing patchy opacification on the upper right and mid-zone lung with fibrotic shadows, as well as bilateral hilar lymphadenopathy.
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The fissures are double folds of pleura that section the lungs and help in their expansion, [6] allowing the lung to ventilate more effectively even if parts of it (usually the basal segments) fail to expand properly due to congestion or consolidation.The function of the visceral pleura is to produce and reabsorb fluid. [7]