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Intralobar Pulmonary Sequestration

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Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Intralobar Pulmonary Sequestration

History: This 12 year old girl has recurrent left lower lobe pneumonia. She is otherwise healthy. Other previous medical history is noncontributory.

Findings: CXR: The mediastinal structures and pulmonary vascularity are normal in appearance. Symmetric aeration is noted bilaterally. Slight increased parenchymal opacity is noted in the left lower lobe posteriorly. Overlying bony thorax is unremarkable. CT: There is an area of increased lucency in the inferior left lower lobe, with multiple dilated abnormal blood vessels. The area is supplied predominantly by a large artery arising from the aorta just above the aortic hiatus. Drainage is to the left inferior pulmonary vein (not shown).

Ddx: Sequestration Cystic Congenital Adenomatoid Malformation Bronchiectasis Tuberculosis

Dxhow: Systemic Arterial Supply (imaging)

Exam: Current physical exam nonrevealing.

No MeSH data available.


RPO projection of a volume rendered 3D reconstruction from the CT data set demonstrates large artery supplying sequestration arising from aorta (red arrow) and drainage to inferior pulmonary vein (blue arrow).
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MPX1424_synpic17818: RPO projection of a volume rendered 3D reconstruction from the CT data set demonstrates large artery supplying sequestration arising from aorta (red arrow) and drainage to inferior pulmonary vein (blue arrow).


Intralobar Pulmonary Sequestration

Seay TMS - MedPix

RPO projection of a volume rendered 3D reconstruction from the CT data set demonstrates large artery supplying sequestration arising from aorta (red arrow) and drainage to inferior pulmonary vein (blue arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1424&req=5

MPX1424_synpic17818: RPO projection of a volume rendered 3D reconstruction from the CT data set demonstrates large artery supplying sequestration arising from aorta (red arrow) and drainage to inferior pulmonary vein (blue arrow).

View Article: MedPix Image - MedPix Case

Affiliation: Wilford Hall USAF Medical Center

ABSTRACT

Diagnosis: Intralobar Pulmonary Sequestration

History: This 12 year old girl has recurrent left lower lobe pneumonia. She is otherwise healthy. Other previous medical history is noncontributory.

Findings: CXR: The mediastinal structures and pulmonary vascularity are normal in appearance. Symmetric aeration is noted bilaterally. Slight increased parenchymal opacity is noted in the left lower lobe posteriorly. Overlying bony thorax is unremarkable. CT: There is an area of increased lucency in the inferior left lower lobe, with multiple dilated abnormal blood vessels. The area is supplied predominantly by a large artery arising from the aorta just above the aortic hiatus. Drainage is to the left inferior pulmonary vein (not shown).

Ddx: Sequestration Cystic Congenital Adenomatoid Malformation Bronchiectasis Tuberculosis

Dxhow: Systemic Arterial Supply (imaging)

Exam: Current physical exam nonrevealing.

No MeSH data available.