Superior accessory fissure
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The superior accessory fissure is present in around 5% of individuals examined with CT 4.
The superior accessory fissure of the right lower lobe is located in the same plane and posterior to the right minor fissure. It separates the right lower lobe into superior and basal segments. This superior segment is called the posterior or dorsal lobe.
The fissure varies in length from complete to incomplete fissure 1,2. The incidence is greater with right lung involvement and less common than an inferior accessory fissure 1.
Frontal chest radiographs demonstrate a thin horizontal linear opacity projecting below, parallel, and medial to the right minor fissure. The lateral radiograph demonstrates a thin line posterior to the right minor fissure, usually in the same plane and in a horizontal or oblique orientation. It may look like a continuation of the right minor fissure posteriorly, which separates the right lower lobe into superior and inferior segments 1,2.
- pleural-parenchymal scarring
- 1. Godwin JD, Tarver RD. Accessory fissures of the lung. AJR Am J Roentgenol. 1985;144 (1): 39-47. doi:10.2214/ajr.144.1.39 - Pubmed citation
- 2. Goodman LR. Felson's Principles of Chest Roentgenology Text with CD-ROM. Saunders. ISBN:1416029230. Read it at Google Books - Find it at Amazon
- 3. Davis SD, Yu LS, Hentel KD. Obliquely oriented superior accessory fissure of the lower lobe of the lung: CT evaluation of the normal appearance and effect on the distribution of parenchymal and pleural opacities. Radiology. 2000;216 (1): 97-106. doi:10.1148/radiology.216.1.r00jl4797 - Pubmed citation
- 4. Yildiz A, Gölpinar F, Calikoğlu M, Duce MN, Ozer C, Apaydin FD. HRCT evaluation of the accessory fissures of the lung. European journal of radiology. 49 (3): 245-9. doi:10.1016/S0720-048X(03)00137-2 - Pubmed