Presentation
Neonate with respiratory distress
Patient Data

Hyperexpansion of the left upper lobe with subsequent mediastinal shift to the opposite side.

The left upper lung lobe is over-distended, hyper-inflated with a diffuse hypo-attenuated pattern associated with mildly attenuated vascularity as well as a mediastinal shift to the right.
Case Discussion
Congenital lobar emphysema (now called congenital lobar overinflation) is mainly a disease of neonatal period with progressive respiratory distress. The disease is presented by atypical radiological findings in the term of hyper-translucency of the affected lung with attenuated vasculature and associated with mediastinal shift to the opposite side.