Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema
Abstract The features of intralobar pulmonary sequestration vary on computed tomography (CT). Many cases demonstrate a mass or cystic lesion within a lower lobe. We report herein a case of a 55‐year‐old, female patient presenting with right back pain. Contrast enhanced (CE) CT revealed multiple, nod...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-02-01
|
| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.1276 |
| _version_ | 1797295268446601216 |
|---|---|
| author | Tadatsugu Yoshinaga Makiko Yomota Kazutoshi Toriyama Hirokazu Iso Kie Mirokuji Shoko Kawai Kosuke Narita Mikito Suzuki Hirotoshi Horio Yukio Hosomi |
| author_facet | Tadatsugu Yoshinaga Makiko Yomota Kazutoshi Toriyama Hirokazu Iso Kie Mirokuji Shoko Kawai Kosuke Narita Mikito Suzuki Hirotoshi Horio Yukio Hosomi |
| author_sort | Tadatsugu Yoshinaga |
| collection | DOAJ |
| description | Abstract The features of intralobar pulmonary sequestration vary on computed tomography (CT). Many cases demonstrate a mass or cystic lesion within a lower lobe. We report herein a case of a 55‐year‐old, female patient presenting with right back pain. Contrast enhanced (CE) CT revealed multiple, nodular, pulmonary lesions suggesting recurrent infections with surrounding focal emphysema. Three‐dimensional (3D) reconstruction demonstrated a sequestrated lung segment with a systemic, arterial blood supply. Based on these findings, intralobar pulmonary sequestration was diagnosed. Intralobar pulmonary sequestration can present as multiple, nodular, pulmonary lesions with focal emphysema rather than as a mass or cyst. CE‐CT with 3D reconstruction is useful for diagnosing this condition. Patients with recurrent pulmonary infections have a high index of suspicion of intralobar pulmonary sequestration. |
| first_indexed | 2024-03-07T21:44:19Z |
| format | Article |
| id | doaj.art-4065e5f9e7254769ba8524a1340cd838 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-03-07T21:44:19Z |
| publishDate | 2024-02-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-4065e5f9e7254769ba8524a1340cd8382024-02-26T01:02:43ZengWileyRespirology Case Reports2051-33802024-02-01122n/an/a10.1002/rcr2.1276Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysemaTadatsugu Yoshinaga0Makiko Yomota1Kazutoshi Toriyama2Hirokazu Iso3Kie Mirokuji4Shoko Kawai5Kosuke Narita6Mikito Suzuki7Hirotoshi Horio8Yukio Hosomi9Department of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Thoracic Surgery Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Thoracic Surgery Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanDepartment of Respiratory Medicine Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital Tokyo JapanAbstract The features of intralobar pulmonary sequestration vary on computed tomography (CT). Many cases demonstrate a mass or cystic lesion within a lower lobe. We report herein a case of a 55‐year‐old, female patient presenting with right back pain. Contrast enhanced (CE) CT revealed multiple, nodular, pulmonary lesions suggesting recurrent infections with surrounding focal emphysema. Three‐dimensional (3D) reconstruction demonstrated a sequestrated lung segment with a systemic, arterial blood supply. Based on these findings, intralobar pulmonary sequestration was diagnosed. Intralobar pulmonary sequestration can present as multiple, nodular, pulmonary lesions with focal emphysema rather than as a mass or cyst. CE‐CT with 3D reconstruction is useful for diagnosing this condition. Patients with recurrent pulmonary infections have a high index of suspicion of intralobar pulmonary sequestration.https://doi.org/10.1002/rcr2.1276intralobar pulmonary sequestrationradiology and other imagingrare lung diseases |
| spellingShingle | Tadatsugu Yoshinaga Makiko Yomota Kazutoshi Toriyama Hirokazu Iso Kie Mirokuji Shoko Kawai Kosuke Narita Mikito Suzuki Hirotoshi Horio Yukio Hosomi Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema Respirology Case Reports intralobar pulmonary sequestration radiology and other imaging rare lung diseases |
| title | Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| title_full | Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| title_fullStr | Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| title_full_unstemmed | Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| title_short | Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| title_sort | intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema |
| topic | intralobar pulmonary sequestration radiology and other imaging rare lung diseases |
| url | https://doi.org/10.1002/rcr2.1276 |
| work_keys_str_mv | AT tadatsuguyoshinaga intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT makikoyomota intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT kazutoshitoriyama intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT hirokazuiso intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT kiemirokuji intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT shokokawai intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT kosukenarita intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT mikitosuzuki intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT hirotoshihorio intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema AT yukiohosomi intralobarpulmonarysequestrationpresentingasmultiplenodularpulmonarylesionsandfocalemphysema |