Post pneumotic pneumatocoele

Discussion:

The chest radiograph and CT confirm a cystic lesion in the right upper lobe.  On the CXR, there is an air-fluid level - this has resolved by the time of CT.

The differential is that of a cystic lung lesion in a child.  Features are of a post-pneumotic pneumatocoele in a 2 1/2 year old child.

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