Presentation
Dyspnea and cough.
Patient Data
Age: 35 years
Gender: Female
From the case:
Swyer-James syndrome
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Unilaterally small left lung with high-riding diaphragm and mediastinal shift to the left. Emphysematous bullae and fibrous changes of the left lung. The right lung appears perfectly normal.
Case Discussion
This case illustrates the typical features of Swyer-James syndrome: Unilateral small lung, albeit with signs of air trapping. The changes are caused by bronchiolitis obliterans in infancy or childhood.