Congenital lobar emphysema
22 day old female with respiratory distress.
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Hyperexpansion of the left upper lobe with a portion herniated across the midline. There is shift of the mediastinum to the right, flattening of the left hemidiaphragm and some compression of the left lower lobe.
Features are those of congenital lobar emphysema of the left upper lobe. This is the most commonly affected lobe (~40 to 45%).