Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
The patient was a nine week old female with coughing spells and wheezing but no fever. The coughing was non productive.
Clinical Physical Exam:
Clinical Differential Diagnosis:
A chest film demonstrated a paraspinal mass in the chest. A chest CT exam better defined the mass.
Imaging Differential Diagnosis:
Neuroblastoma, ganglioneuroblastoma, ganglioneuroma.
A left thoracotomy was performed. The mass was attached to the posterior mediastinum by a pedicle. It had no connection to the lung. It's arterial supply came from the aorta above the diaphragm. The mass was removed.
Pathological examination revealed findings compatible with an extralobar pulmonary sequestration.
Extralobar Pulmonary Sequestration
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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