Congenital lobar emphysema

Case contributed by Dr Hani Salam

Presentation

Pediatric patient with recurrent chest infection and respiratory distress.

Patient Data

Age: 1 month old
X-ray

Chest x-ray

Chest radiographs demonstrates increased translucency of the left lung with mild mediastinal shift to the right side. On the lateral projection the hyperlucency is confined to the left upper lobe, shifting the oblique fissure posteroinferiorly. 

Annotated image

Annotated chest x-ray

The hyperinflated lobe (outlined in blue) can be seen to displace the oblique fissure and the mediastinum. 

Case Discussion

Findings are consistent with left upper lobe congenital emphysema.

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Case information

rID: 7869
Case created: 19th Dec 2009
Last edited: 26th Nov 2015
Systems: Chest, Paediatrics
Tag: lungs
Inclusion in quiz mode: Included

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