An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation
Abstract Background Isolated right upper lobe pulmonary agenesis is a highly uncommon congenital anomaly, usually detected at adulthood when the patient is evaluated for an incidental abnormal chest radiograph. Chest radiography findings are non-specific. Chest computed tomography with pulmonary ang...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2022-07-01
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| Series: | The Egyptian Journal of Bronchology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s43168-022-00146-6 |
| _version_ | 1818474240056229888 |
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| author | Shruthi Panduranga Harisha V Ravindra M. Mehta |
| author_facet | Shruthi Panduranga Harisha V Ravindra M. Mehta |
| author_sort | Shruthi Panduranga |
| collection | DOAJ |
| description | Abstract Background Isolated right upper lobe pulmonary agenesis is a highly uncommon congenital anomaly, usually detected at adulthood when the patient is evaluated for an incidental abnormal chest radiograph. Chest radiography findings are non-specific. Chest computed tomography with pulmonary angiography is the modality of choice for diagnosing pulmonary agenesis. Case presentation We describe a case of isolated right upper lobe agenesis in a young man who presented with mild shortness of breath and an abnormal chest radiograph. High-resolution computed tomography chest showed right upper lobe pulmonary agenesis which was initially erroneously diagnosed as right lower lobe collapse on chest X-ray. Abnormal segmentation of the middle lobe was also seen which has not been described earlier according to our literature search. Conclusions There should be a high index of suspicion for congenital anomalies on chest X-ray to recommend further imaging studies. This case highlights the importance of computed tomography with pulmonary angiography to adequately assess and characterize the congenital lung anomalies. |
| first_indexed | 2024-04-14T04:35:20Z |
| format | Article |
| id | doaj.art-c42ca4248ccc43f9bb960e029df44466 |
| institution | Directory Open Access Journal |
| issn | 1687-8426 2314-8551 |
| language | English |
| last_indexed | 2024-04-14T04:35:20Z |
| publishDate | 2022-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Bronchology |
| spelling | doaj.art-c42ca4248ccc43f9bb960e029df444662022-12-22T02:11:55ZengSpringerOpenThe Egyptian Journal of Bronchology1687-84262314-85512022-07-011611410.1186/s43168-022-00146-6An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentationShruthi Panduranga0Harisha V1Ravindra M. Mehta2Department of Radiology and Imaging, Apollo Speciality HospitalDepartment of Radiology and Imaging, Apollo Speciality HospitalDepartment of Pulmonology and Critical Care, Apollo Speciality HospitalAbstract Background Isolated right upper lobe pulmonary agenesis is a highly uncommon congenital anomaly, usually detected at adulthood when the patient is evaluated for an incidental abnormal chest radiograph. Chest radiography findings are non-specific. Chest computed tomography with pulmonary angiography is the modality of choice for diagnosing pulmonary agenesis. Case presentation We describe a case of isolated right upper lobe agenesis in a young man who presented with mild shortness of breath and an abnormal chest radiograph. High-resolution computed tomography chest showed right upper lobe pulmonary agenesis which was initially erroneously diagnosed as right lower lobe collapse on chest X-ray. Abnormal segmentation of the middle lobe was also seen which has not been described earlier according to our literature search. Conclusions There should be a high index of suspicion for congenital anomalies on chest X-ray to recommend further imaging studies. This case highlights the importance of computed tomography with pulmonary angiography to adequately assess and characterize the congenital lung anomalies.https://doi.org/10.1186/s43168-022-00146-6Pulmonary agenesisPulmonary aplasiaPulmonary hypoplasiaMiddle lobe Abnormal segmentationCongenital lung anomalyComputed tomography |
| spellingShingle | Shruthi Panduranga Harisha V Ravindra M. Mehta An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation The Egyptian Journal of Bronchology Pulmonary agenesis Pulmonary aplasia Pulmonary hypoplasia Middle lobe Abnormal segmentation Congenital lung anomaly Computed tomography |
| title | An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| title_full | An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| title_fullStr | An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| title_full_unstemmed | An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| title_short | An unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| title_sort | unique case of isolated right upper lobe lung agenesis with abnormal middle lobe segmentation |
| topic | Pulmonary agenesis Pulmonary aplasia Pulmonary hypoplasia Middle lobe Abnormal segmentation Congenital lung anomaly Computed tomography |
| url | https://doi.org/10.1186/s43168-022-00146-6 |
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