CXR-Bulging-Sagging Fissure Sign


  • Bulging of the minor fissure below its normal, roughly horizontal position at the level of the 4th rib anteriorly) due to increased volume of the RUL



Bulging-Sagging Fissure Sign


  • Bulging fissures have no prognostic significance


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  • The pathophysiology and treatment of sepsis. N Engl J Med 2003; 348:138-150
  • Treating patients with severe sepsis. N Engl J Med 1999; 340:207-214