Congenital lobar overinflation
Updates to Study Attributes
Current chest radiograph at 15 months (several in-between).
Overinflation of the left upper lobe, displacing the heart and mediastinum to the right.The right lung is clear.The heart is normal in size.
Updates to Study Attributes
X-ray at day 0
NGTGastric feeding tube tip in the stomach.Opacity in the upper zone of the left lung - the differential includes CPAM and a solid mass. A large portion of the left lung is hypolucent.The film is rotated to the right but nevertheless, the heart and mediastinum appear displaced to the right.No outstanding finding in the right lung and no pleural effusion.The heart is normal in size.The osseous skeleton demonstrated onin the film is normal.
Updates to Case Attributes
Congenital overinflation of the left upper lobe, unchanged on serial X-rays almost from birth (several days old).
The first chest X-ray on the day of birth was misleading, as it were, as the left upper lobe was radiopaque. In the early post partumneonatal period, the affected lobe contains fetal fluid and tends to appear opaque and homogeneous because of fetal lung fluidbe homogenously radiopaque or it may show a diffuse reticular pattern that representsrepresenting distended lymphatic channels filled. Subsequent radiograph shows progressive overinflation of the left upper lobe, in keeping with fetal lung fluida congenital lobar overinflation.
-<p><a href="/articles/congenital-lobar-overinflation">Congenital overinflation</a> of the left upper lobe, unchanged on serial X-rays almost from birth (several days old).</p><p>The first chest X-ray on the day of birth was misleading, as it were, as the left upper lobe was radiopaque. In the early post partum period, the affected lobe tends to appear opaque and homogeneous because of fetal lung fluid or it may show a diffuse reticular pattern that represents distended lymphatic channels filled with fetal lung fluid.</p>- +<p>The first chest X-ray on the day of birth was misleading, as it were, as the left upper lobe was radiopaque. In the early neonatal period, the affected lobe contains fetal fluid and tends to be homogenously radiopaque or may show diffuse reticular pattern representing distended lymphatic channels. Subsequent radiograph shows progressive overinflation of the left upper lobe, in keeping with a <a title="Congenital lobar overinflation" href="/articles/congenital-lobar-overinflation">congenital lobar overinflation</a>.</p>