A patient presents with chest pain d/t aspiration pneumonitis. On examination there is dullness on percussion in area medial to the medial border of scapula on elevation of arm. Which pa of the lung is most likely to be affected
On elevation of Rt. arm medial border of scapula corresponds to oblique fissure. So on percussing medial to medial border we are percussing apical (superior) segment of . lower lobeLobes most susceptible to aspiration in spine position is posterior segment of upper lobeQ > superior segment of lower lobeQ > superior segment of Lt. lower lobeLobe most commonly involved in bronchiectasis is left lower lobe.
Right sup. Lobe
Right post. Lobe
Left sup. Lobe
Right apical lobe