Unilateral opaque chest radiograph in paediatrics: A case series

SA Journal of Radiology

Field Value
Title Unilateral opaque chest radiograph in paediatrics: A case series
Creator Raja Mamat, Tengku A. Sayuti, Khairil A. Nadarajan, Chandran Mohd Zain, Mohd R.
Subject radiology; paediatrics; cardiac; pulmonary underdevelopment; pulmonary agenesis; pulmonary aplasia; pulmonary hypoplasia; congenital disease
Description Pulmonary underdevelopment is a rare congenital disease which manifests as persistent hemithorax opacification at chest radiography. We present three patients with different types of pulmonary underdevelopment, their imaging features and associated anomalies. Case 1 is a premature neonate with persistent respiratory distress. Further imaging confirmed right pulmonary hypoplasia, associated with a patent foramen ovale, patent ductus arteriosus and vertebral anomalies. Case 2 is a 6-year-old child with corrected anorectal malformation, and recurrent pneumonia. Further imaging confirmed left pulmonary aplasia, associated with an aberrant right subclavian artery and vertebral anomaly. Case 3 is a full term neonate who developed excessive drooling of saliva and respiratory distress. Further imaging confirmed right pulmonary agenesis, associated with an atrial septal defect, patent ductus arteriosus and tracheo-oesophageal fistula. Pulmonary underdevelopment is classified into three types: hypoplasia, aplasia and agenesis. The majority of them have associated anomalies. This condition should be considered a differential diagnosis in paediatric patients with an opaque hemithorax on chest radiography.
Publisher AOSIS
Date 2021-08-31
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajr.v25i1.2164
Source South African Journal of Radiology; Vol 25, No 1 (2021); 5 pages 2078-6778 1027-202X
Language eng
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https://sajr.org.za/index.php/sajr/article/view/2164/2986 https://sajr.org.za/index.php/sajr/article/view/2164/2987 https://sajr.org.za/index.php/sajr/article/view/2164/2988 https://sajr.org.za/index.php/sajr/article/view/2164/2989
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Rights Copyright (c) 2021 Tengku Azran Raja Mamat, Khairil Amir Sayuti, Chandran Nadarajan, Mohd Rizal Mohd Zain https://creativecommons.org/licenses/by/4.0