Intralobar pulmonary sequestration

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Recurrent pulmonary infections.

Patient Data

Age: 25 years
Gender: Male

Multicystic lesion of the posterior basal segment of the right lower lobe with the presence of air within (infected). The lesion shows a systemic arterial supply taking origin from the descending thoracic aorta above the diaphragm. The venous drainage is via the pulmonary venous system.

Case Discussion

This is a case of infected intralobar pulmonary sequestration - the systemic arterial supply from the thoracic aorta is the key to the diagnosis. Cystic bronchiectasis should be included in the differential diagnosis. 

Additional Contributor: R Bouguelaa, MD.

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