<p>The atoll sign, also known as the reverse halo sign (RHS), is defined by a central ground-glass opacity encircled by a rim of consolidation. Originally described in the context of organizing pneumonia, it is now recognized across a spectrum of conditions—including infectious, inflammatory, vascular, malignant, and traumatic pathologies. This pictorial essay examines the various clinical scenarios in which the RHS is observed on emergency CT, highlighting its crucial role in differential diagnosis and patient management.</p>

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The reverse halo sign in emergency chest CT: A diagnostic guide across diverse pulmonary conditions

  • Furkan Ufuk,
  • Iclal Ocak,
  • Lydia Chelala,
  • Luis Landeras

摘要

The atoll sign, also known as the reverse halo sign (RHS), is defined by a central ground-glass opacity encircled by a rim of consolidation. Originally described in the context of organizing pneumonia, it is now recognized across a spectrum of conditions—including infectious, inflammatory, vascular, malignant, and traumatic pathologies. This pictorial essay examines the various clinical scenarios in which the RHS is observed on emergency CT, highlighting its crucial role in differential diagnosis and patient management.