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RADIOLOGY QUIZ
Year : 2014  |  Volume : 31  |  Issue : 4  |  Page : 416-418  

Completely opaque hemithorax


1 Department of Respiratory Medicine, Critical Care and Sleep Disorders, Jaipur Golden Hospital, Rohini, Delhi, India
2 Department of Pulmonary Medicine, Sharda Medical College and Hospital, Noida, India
3 Shri Ram Murti Medical College, Bareilly, Uttar Pradesh, India

Date of Web Publication1-Oct-2014

Correspondence Address:
Rakesh K Chawla
Chawla Respiratory, Allergy, Sleep Disorders and Research Centre, 58 59/C 12/Sector 3, Rohini, Delhi - 110 085
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-2113.142095

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How to cite this article:
Chawla RK, Madan A, Das K, Chawla A. Completely opaque hemithorax. Lung India 2014;31:416-8

How to cite this URL:
Chawla RK, Madan A, Das K, Chawla A. Completely opaque hemithorax. Lung India [serial online] 2014 [cited 2019 Dec 7];31:416-8. Available from: http://www.lungindia.com/text.asp?2014/31/4/416/142095


   Case Report Top


A 45-year-old male patient, normotensive, non-diabetic, married with children, auto parts dealer by profession, presented to us with complaints of cough with expectoration, low grade fever and breathlessness from past 15 days. He gave no history of previous diseases or surgical intervention. General examination was unremarkable. On respiratory system examination, the left sided shoulder was drooping; trachea deviated to left and apex beat palpable in fifth intercostal space at left mid axillary line. On percussion, impaired to dull note was observed all over the left side. On auscultation, breath sound were absent in the left axillary and infra axillary areas; decreased intensity breath sounds could be heard in the left inter scapular and infra scapular areas. Occasional crepitations were heard over the right hemithorax. CVS (Cardio-vascular system), CNS (Central nervous system) and per-abdominal examinations revealed no abnormality. TLC (Total leukocyte count) was 12,400/mm 3 , kidney and liver function tests were normal and the Mantoux test was negative. Chest radiograph (PA view) demonstrated opaque left hemithorax with volume loss, ipsilateral mediastinal shift, right sided compensatory hyperinflation and scoliosis of dorsal spine with concavity to the left side [Figure 1]. USG of abdomen was normal. Contrast enhanced CT scans of chest lung window [Figure 2].
Figure 1: X-ray chest showing opaque left hemithorax

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Figure 2: CT scan lung window showing aerated part of left lung

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   Question Top


What is the diagnosis?



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   References Top

1.Schneider P. Die missbindungen der atmungsorgane. In: Schwalbe E, editor. Die Morphologie der Missbindungen des Menschen und der tiere. Vol. 3. Jena Gustav Fisher; 1900. p. 817-22.  Back to cited text no. 1
    
2.Boyden EA. Developmental anomalies of the lungs. Am J Surg 1955;89:79-89.  Back to cited text no. 2
    
3.Cadichon SB. Pulmonary Hypoplasia. In: Kumar P, Burton B, editors. Congenital malformations: Evidence-Based Evaluation and Management. Chapter 22. New York: The McGraw-Hill; 2008. p. 143-6.  Back to cited text no. 3
    
4.Kurkcuoglu IC, Eroglu A, Karaoglanoglu N, Polat P. Pulmonary hypoplasia in a 52-year-old woman. Ann Thorac Surg 2005;79:689-91.  Back to cited text no. 4
    
5.Hislop A. Developmental biology of the pulmonary circulation. Paediatr Respir Rev 2005;6:35-43.  Back to cited text no. 5
    
6.Dobremez E, Fayon M, Vergnes P. Right pulmonary agenesis associated with remaining bronchus stenosis, an equivalent of post-pneumonectomy syndrome. Treatment by insertion of tissue expander in the thoracic cavity. Pediatr Surg Int 2005;21:121-2.  Back to cited text no. 6
    
7.Dutta D, Karlekar A, Saxena R. Agenesis of the lung. Ann Card Anaesth 2013;16:151-2.  Back to cited text no. 7
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8.Pinar H. Postmortem findings in term neonates. Semin Neonatol 2004;9:289-302.  Back to cited text no. 8
    
9.Wigglesworth JS, Desai R. Is fetal respiratory function a major determinant of perinatal survival? Lancet 1982;1:264-7.  Back to cited text no. 9
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]
 
 
    Tables

  [Table 1]



 

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