Pulmonary sequestration

Case contributed by Erik Ranschaert
Diagnosis almost certain

Presentation

Incidental finding during a scan for tumor staging.

CT Chest

ct

Mediastinal window demonstrates a small focus of parenchymal consolidation in the right lower lobe adjacent to the spine, which receives 2 separate arterial supplies from the descending aorta. The venous drainage is via the right inferior pulmonary vein.

Lung windows demonstrate a cavernous component, which has no clear communication with the bronchial tree.

Case Discussion

Pulmonary sequestration of the intra-lobar type detected incidentally during adulthood.

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