Limits...
Intralobar Pulmonary Sequestration with superimposed pneumonia

Palacios III, MD RGPIM - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Intralobar Pulmonary Sequestration with superimposed pneumonia

History: 46 year old man presents to the ER after being diagnosed 2 days ago with pneumonia. He now complains of increasing shortness of breath, productive sputum, and fever despite antibiotic treatment.

Findings: Chest X-ray PA and LAT demonstrate opacification of the post segment of the right lung consistent with known pulmonary disease. CT chest angiogram with coronal reformatted images demonstrates a posterior segment right lower lobe consolidation associated with an anomalous feeding vessel from the aorta and drainage via the pulmonary vein. There is also a small pleural effusion, likely secondary to a superimposed pneumonia on a intralobar sequestration.

Ddx: Pneumonia associated with - Intralobar Sequestration - Extralobar Sequestration - Cystic Adenomatoid Malformation Bronchogenic carcinoma with or without infection

Dxhow: CT angiographic study.

Exam: Rales in the right lower lung base otherwise unremarkable physical exam. D-Dimer is elevated.

No MeSH data available.


Selected axial CT images of the chest with IV contrast demonstrate an abnormal feeding vessel originating from the thoracic aorta coursing through an area of consolidation in the posterior segment of the right lower lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=MPX1945&req=5

MPX1945_synpic19684: Selected axial CT images of the chest with IV contrast demonstrate an abnormal feeding vessel originating from the thoracic aorta coursing through an area of consolidation in the posterior segment of the right lower lobe.


Intralobar Pulmonary Sequestration with superimposed pneumonia

Palacios III, MD RGPIM - MedPix (2005)

Selected axial CT images of the chest with IV contrast demonstrate an abnormal feeding vessel originating from the thoracic aorta coursing through an area of consolidation in the posterior segment of the right lower lobe.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1945&req=5

MPX1945_synpic19684: Selected axial CT images of the chest with IV contrast demonstrate an abnormal feeding vessel originating from the thoracic aorta coursing through an area of consolidation in the posterior segment of the right lower lobe.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Intralobar Pulmonary Sequestration with superimposed pneumonia

History: 46 year old man presents to the ER after being diagnosed 2 days ago with pneumonia. He now complains of increasing shortness of breath, productive sputum, and fever despite antibiotic treatment.

Findings: Chest X-ray PA and LAT demonstrate opacification of the post segment of the right lung consistent with known pulmonary disease. CT chest angiogram with coronal reformatted images demonstrates a posterior segment right lower lobe consolidation associated with an anomalous feeding vessel from the aorta and drainage via the pulmonary vein. There is also a small pleural effusion, likely secondary to a superimposed pneumonia on a intralobar sequestration.

Ddx: Pneumonia associated with - Intralobar Sequestration - Extralobar Sequestration - Cystic Adenomatoid Malformation Bronchogenic carcinoma with or without infection

Dxhow: CT angiographic study.

Exam: Rales in the right lower lung base otherwise unremarkable physical exam. D-Dimer is elevated.

No MeSH data available.