Fig. 1

A Chest X-ray revealed patchy opacification mimicking Golden S-sign and diaphragmatic tenting over right lung, suggesting consolidation of right middle lobe (RML) B Bronchoscopy showing compromised right middle bronchus (RMB) with hyperemic mucosa and intact right lower bronchus (RLB) C Contrast-enhanced chest computed tomography showing collapsed RML bronchus (arrow) and consolidation of RML D Exploratory thoracotomy revealed hemorrhagic infarction of RML, and the staple line of minor fissure turned toward right lower lobe. The stitch (triangle) for pneumopexy were still in place, tethering RML to RLL