Pulmonary sequestration

Case contributed by Dr Mostafa Mahmoud El Feky

Presentation

incidental finding at abdominal CT done for follow up after surgical excision of abdominal wall lesion.

Patient Data

Age: 35
Gender: Female
CT

CT abdomen with contrast

Consolidation is seen at the medial aspect of the left lower lung lobe, showing arterial supply from the aorta and drain into the pulmonary veins, surrounded by small tree-in-bud nodules and atelectatic bands.

Case Discussion

The above described features are suggestive of infected intra-lobar pulomonary sequestration. 

Pulmonary sequestration commonly affects the lower lobes; 60% of intralobar sequestrations affect the left lower lobe, and 40% the right lower lobe with arterial supply from a branch of the aorta. Intralobar sequestration showed no seperable pleural lining from the lung and venous drainage via pulmonary veins. 

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Case information

rID: 44560
Case created: 27th Apr 2016
Last edited: 2nd Dec 2016
System: Chest
Inclusion in quiz mode: Included

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