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The actual values in the lung vary depending on the position within the lung. If taken as a whole, the typical value is approximately 0.8. [4] Because the lung is centered vertically around the heart, part of the lung is superior to the heart, and part is inferior. This has a major impact on the V/Q ratio: [5] apex of lung – higher; base of ...
Local venous pressure falls to -5 at the apexes and rises to +15 mmHg at the bases, again for the erect lung. Pulmonary blood pressure is typically in the range 25–10 mmHg with a mean pressure of 15 mmHg. Regional arterial blood pressure is typically in the range 5 mmHg near the apex of the lung to 25 mmHg at the base.
The V/Q ratio in the apex is roughly 3.3 and 0.63 in the base, which indicates that perfusion is greater than ventilation towards the base, and the ventilation rate is greater than perfusion towards the apex. [3] Towards the base of the lungs, the fluid volume in the pleural cavity increases due to gravity, resulting in greater intrapleural ...
The Pancoast tumor was first described by Hare in 1838 as a "tumor involving certain nerves". [2] It was not until 1924 that the tumor was described in further detail, when Henry Pancoast, a radiologist from Philadelphia, published an article in which he reported and studied many cases of apical chest tumors that all shared the same radiographic findings and associated clinical symptoms, such ...
The oesophagus may sit in a wider shallow impression at the base of the lung. [ 3 ] By standard reference range , the weight of the left lung is 110–675 g (0.243–1.488 lb) [ 11 ] in men and 105–515 g (0.231–1.135 lb) in women.
In the upright lung, both perfusion and ventilation are greatest at the base, but the gradient of perfusion is steeper than that of ventilation so V/Q ratio is higher at the apex than at the base. This means that blood flowing through capillaries at the base of the lung is not fully oxygenated. [3]
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A subpulmonic effusion is excess fluid that collects at the base of the lung, in the space between the pleura and diaphragm. It is a type of pleural effusion in which the fluid collects in this particular space but can be "layered out" with decubitus chest radiographs.