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