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Lateral Decubitus CT

A Useful Adjunct to Standard Inspiratory-Expiratory CT for the Detection of Air-Trapping

Tomas Franquet1, Eric J. Stern2, Ana Giménez1, Josep Ma Sabaté1 and Pere Domingo3

1 Department of Radiology, Hospital de Sant Pau, Universidad Autónoma de Barcelona, Avda Sant Antoni Ma Claret 167, Barcelona 08025, Spain.
2 Department of Radiology, Harborview Medical Center, University of Washington, 325 Ninth Ave., ZA-65 Seattle, WA 98104.
3 Department of Internal Medicine, Hospital de Sant Pau, Universidad Autónoma de Barcelona, Barcelona 08025, Spain.



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  		Fig. 1A. —58-year-old woman with bronchiolitis obliterans. High-resolution CT scan obtained at suspended full inspiration shows dilated bronchioles with associated wall thickening (arrow) and multiple mucoid impactions (arrowheads).

 


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  		Fig. 1B. —58-year-old woman with bronchiolitis obliterans. Right lateral decubitus CT scan at full suspended expiration shows better image quality than A and reveals hyperlucent area in apical (asterisk) segment of right lower lobe, consistent with air-trapping.

 


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  		Fig. 2A. —59-year-old woman with bronchiolitis obliterans, previous mastectomy, and progressive dyspnea. High-resolution CT scan (2-mm section) at full suspended expiration shows lobular areas of air-trapping (arrows).

 


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  		Fig. 2B. —59-year-old woman with bronchiolitis obliterans, previous mastectomy, and progressive dyspnea. Right lateral decubitus CT scan at full suspended expiration shows clear view of lobular areas of air-trapping.

 

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