Congenital lobar overinflation - left upper lobe

Case contributed by Hidayatullah Hamidi
Diagnosis certain

Presentation

Respiratory distress.

Patient Data

Age: Infant
Gender: Male

Unilateral hyperlucent left lung with mediastinal shift towards the right side.

Hyperinflation and air trapping of left lung upper lobe are noted. No pneumothorax.

Case Discussion

Congenital lobar emphysema is an important cause of unilateral hyperlucent lung in children. 

Left lung upper lobe is the most common site involved followed by right lung middle and lower lobes.

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