CTICasesLobar Torsion
Imaging findings
CT demonstrates left upper lobe consolidation with a "bird's nest" pattern resembling a venous infarct. The pulmonary bronchus to the left upper lobe is narrowed and terminates abruptly, and there is beaking of the left pulmonary artery. A second case shows similar findings of left lower lobe consolidation with a twisting course of the hilum vessels.
Key takeaways
Pulmonary lobar torsion is a rare, life-threatening complication that can occur after thoracic surgery, such as trauma-related thoracotomy or lung transplantation. Key imaging findings include lobar consolidation with a ground-glass or hemorrhagic infarction pattern, abrupt bronchial narrowing or occlusion, and tapered "beaking" of the lobar pulmonary artery. Rapid recognition is critical, as emergency reoperation is required to resect the infarcted, necrotic lobe.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Lupus-Associated Interstitial Lung Disease (Fibrotic NSIP with Cystic Changes)ILD
- Mixed Dust Pneumoconiosis (Desert Sand Exposure)Exposure
- Recurrent Lymphangioleiomyomatosis (LAM) Post-Lung TransplantILD
- Geliophysic DysplasiaCongenital
- Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Post-Pulmonary EndarterectomyVascular
- Anomalous Left Coronary Artery from the Opposite Sinus (ACAOS) with Intramural CourseCongenital
- Pulmonary Amyloidosis (Cystic and Calcified)Metabolic
- Endobronchial Metastases from Colon AdenocarcinomaNeoplastic
See all cases from August 28, 2021 →
Related Iatrogenic cases
- Iatrogenic Aortic Injury from Intra-Aortic Balloon Pump (IABP)
- Accidental Right Subclavian Artery Catheterization
- Pacemaker Lead Displacement by Jugular Catheter
- Malpositioned Tracheostomy Tube
- Accidental Subclavian Artery Cannulation and Retrograde Aortic Catheterization
- Malpositioned Left Axillary Intra-aortic Balloon Pump