Unilateral pulmonary artery atresia
Chest tightness with cough
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The left main pulmonary artery is atretic. The left hemithorax is normal in volume. The left lung is small in size with normal appearance of the left main bronchus and cystic bronchiectasis of the bronchial tree remnant. Ipsilateral mediastinal shift, contralateral lung compensatory hyperinflation and herniation across the midline.