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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 4 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 4

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Newborn 36 week old premature male with respiratory distress.

Clinical History:
The patient was a newborn 36 week old premature male with respiratory distress.

Clinical Physical Exam:
Respiratory distress.

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Hyaline membrane disease, transient tachypnea of the newborn, neonatal pneumonia.

Imaging Findings:
A chest film and a chest CT exam from the first day of life showed no aerated lung in the left chest.

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icon gificon gificon gificon gifImages 2, 3, 4 and 5

Imaging Differential Diagnosis:
Left lung hypoplasia / aplasia vs. bronchial atresia vs. complete lung collapse.

Operative Findings:
A bronchoscopy was subsequently performed by the surgical service and failed to locate a left mainstem bronchus.

Pathological Findings:
None

Final Diagnosis:
Pulmonary Agenesis, Left

Follow-up and Prognosis:
A cardiac angiogram from the third day of life (not provided) showed no evidence of a left pulmonary artery. No left lung was seen under fluoroscopy (not provided).

Similar Cases:
None

References:

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