Virtual Pediatric Hospital(tm) : A digital library of pediatric information

Home | About Us | FAQ | Reviews | Search

Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com


Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 10 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 10

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


Chief Complaint:
One month old male with respiratory distress.

Clinical History:
The patient was a 1 month old male who was noted to have increased respiratory rates and contractions.

Clinical Physical Exam:
Respiratory distress.

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Infection versus lung lesion.

Imaging Findings:
Nuclear medicine, chest CT exam, and chest films showed a lesion in the right lung.

icon gificon gifImages 1 and 2

icon gifImage 3

icon gifImage 4

Imaging Differential Diagnosis:
Congenital lobar emphysema versus congenital pulmonary airway malformation

Operative Findings:
Two weeks after the chest CT exam the patient had an elective thoracotomy. The right middle lobe was emphysematous and a right middle lobectomy was performed.

Pathological Findings:
The mass was 10 x 7 x 3 cm in size. Dysplastic lung parenchyma with emphysematous changes consistent with lobar emphysema and features of polyalveolar lobe were found. Pathological Diagnosis: Congenital Lobar Emphysema, Right Middle Lobe

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course. A routine chest film obtained two months postoperatively suggested a right upper quadrant calcification, and an ultrasound was performed to rule out neuroblastoma and was negative.

Similar Cases:
None

References:

Title Page


Home | About Us | FAQ | Reviews | Search

Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com


Virtual Pediatric Hospital is curated by Donna M. D'Alessandro, M.D. and by Michael P. D'Alessandro, M.D.

Please send us comments by filling out our Comment Form.

All contents copyright © 1992-2024 Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. and the authors. All rights reserved.

"Virtual Pediatric Hospital", the Virtual Pediatric Hospital logo, and "A digital library of pediatric information" are all Trademarks of Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D.

Virtual Pediatric Hospital is funded in whole by Donna M. D'Alessandro, M.D. and Michael P. D'Alessandro, M.D. Advertising is not accepted.

Your personal information remains confidential and is not sold, leased, or given to any third party be they reliable or not.

The information contained in Virtual Pediatric Hospital is not a substitute for the medical care and advice of your physician. There may be variations in treatment that your physician may recommend based on individual facts and circumstances.

URL: http://www.virtualpediatrichospital.org/