Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a newborn 36 week old premature male with respiratory distress.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Hyaline membrane disease, transient tachypnea of the newborn, neonatal pneumonia.
A chest film and a chest CT exam from the first day of life showed no aerated lung in the left chest.
Images 2, 3, 4 and 5
Imaging Differential Diagnosis:
Left lung hypoplasia / aplasia vs. bronchial atresia vs. complete lung collapse.
A bronchoscopy was subsequently performed by the surgical service and failed to locate a left mainstem bronchus.
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).
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