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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 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 Correlations:

Reversible process
Correct underlying problem
References:
• Cotran RS, Kumar V, Robbins SL. Robbins Pathologic Basis of Disease. 5th edition. W.B. Saunders. Philadephia 1994. pp.675.