Congenital lobar overinflation

Case contributed by Khairy Abdella

Presentation

Neonate with respiratory distress

Patient Data

Age: 45 days
Gender: Male

X-ray chest

x-ray

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

CT chest

ct

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.

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