Intralobar pulmonary sequestrations
A term male infant with an absent stomach on antenatal scans developed feeding difficulties and respiratory distress on day 5 of life. The appearance of the chest X-ray was consistent with aspiration pneumonia and a contrast study was subsequently performed.
AP and lateral fluoroscopic views. Still images were joined to form a pseudo-video of the entire study.
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The contrast study demonstrated microgastria, severe gastroesophageal reflux, and contrast entered bilateral linear branching structures in the lower lung zones, which appeared to be lung tissue.
A CT scan demonstrated bilateral communicating intralobar pulmonary sequestrations, which occupied the medial right lower lobe and the entire left lower lobe. The child underwent surgical resection of the sequestrations at 15 months of age.
Case contributed by Dr J. S. McTaggart and Dr R. Ross-Russell.