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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.


3D reconstruction images from an axial IV enhanced CT shows a feeding vessel from the thoracic aorta that perfuses a section of consolidated lung in the posterior segment of the right lower lobe.  That section is drained by a vessel that feeds into the the right inferior pulmonary vein.
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MPX1945_synpic19688: 3D reconstruction images from an axial IV enhanced CT shows a feeding vessel from the thoracic aorta that perfuses a section of consolidated lung in the posterior segment of the right lower lobe. That section is drained by a vessel that feeds into the the right inferior pulmonary vein.


Intralobar Pulmonary Sequestration with superimposed pneumonia

Palacios III, MD RGPIM - MedPix (2005)

3D reconstruction images from an axial IV enhanced CT shows a feeding vessel from the thoracic aorta that perfuses a section of consolidated lung in the posterior segment of the right lower lobe.  That section is drained by a vessel that feeds into the the right inferior pulmonary vein.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX1945_synpic19688: 3D reconstruction images from an axial IV enhanced CT shows a feeding vessel from the thoracic aorta that perfuses a section of consolidated lung in the posterior segment of the right lower lobe. That section is drained by a vessel that feeds into the the right inferior pulmonary vein.

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.