Congenital lobar overinflation

Case contributed by Dr Khairy Abdella

Presentation

Neonate with respiratory distress

Patient Data

Age: 45 days
Gender: Male
X-ray

X-ray chest

Hyper-expansion of the left upper lobe with subsequent mediastinal shift to the opposite side 

CT

CT chest

The left upper lung lobe is over-distended , hyper-inflated with diffuse hypo-attenuated pattern associated with mildly attenuated vascularity as well as 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.

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Case information

rID: 39949
Case created: 29th Sep 2015
Last edited: 11th Nov 2015
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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