Presentation
Routine follow-up at pulmonary clinic.
Patient Data
Age: 15 months
Gender: Male
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Gastric feeding tube tip in the stomach.
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Overinflation of the left upper lobe, displacing the heart and mediastinum to the right.
Case Discussion
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 congenital lobar overinflation.