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Hyperinflated and Atelectatic Lung
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Hyperinflated and Atelectatic Lung

External view of the lung.
The hyperinflated regions are tan (white arrow).
The atelectatic regions are deep pink gray and seem to be depressed relative to the tan regions (black arrow).
(Description By:Melinda Sanders, M.D. )
(Image Contrib. by: UCHC )
Atelectasis
Etiology

Obstruction of airway
Compression with fluid/blood/neoplasm/air in pleural space
Loss of surfactant
Pathogenesis

Complete obstruction of inflow results in eventual absorption of air; partial obstruction results in hyperinflation
Compression results from increased intrathoracic pressure by accumulation of material generally in pleural spaces,
Epidemiology

Acquired in adulthood
Airway obstruction by foreign object or secretion
Pleural effusions with congestive heart failure
General Gross Description

Dark purple, airless (non-crepitant) tissue
Hyperinflated regions are tan and pillowy
General Microscopic Description

Collapse of alveolar septae against each other
May be difficult to separate from artifacts of sectioning
Clinical Correlation

Reversible process
Correct underlying problem
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 675.
Atelectasis
Synopsis by: Melinda Sanders M.D. (T28000M34310)[139]
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