EURORAD ESR

Case 14276

Right Pulmonary Artery Atresia with Right Lung Hypoplasia

Author(s)
Ana Sofia Moreira1, Susana Lucas2, Graça Afonso1

1Centro Hospitalar do Algarve, Faro Unit, Radiology Department ; Rua Penedo Leão 8000-386 Faro, Portugal
2 Centro Hospitalar do Algarve, Faro Unit, Pneumology Department ; Rua Penedo Leão 8000-386 Faro, Portugal

Email:anasofiamoreira@netcabo.pt
 
Patient
female, 42 year(s)
 
 
  • Figure 1
    Chest Radiogram

    Postero anterior view of chest radiograph shows loss of right lung volume and mediastinal shift towards the right, with hyperinflation of the left lung

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CAD; Plain radiographic studies; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;
     
     
  • Figure 2
    Lung window chest CT, at three levels
     

    At the level of the carina, the difference in lung volume and deviation of the mediastinum to the right areclear as well as is the hyperinflation of the left lung

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;

    At the level of the lung hila, there is discrete centrilobular emphysema of the right lung

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;

    At the level of the lung bases, in the right lung base there is a discrete mosaic pattern

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;
     
     
  • Figure 3
    Contrast enhanced chest CT, arterial phase, at two levels
     

    At the level of the main pulmonary artery and left pulmonary artery, no right pulmonary artery is identifiable

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;

    At a lower level the diminished vasculature of the right lung is evident, since no segmentary and subsegmentary arteries are seen in the right lung

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;
     
     
  • Figure 4
    Volume rendering reconstruction of the thoracic vessels

    Volume rendering reconstruction of the thoracic vessels, no right pulmonary artery or segmentar and subsegmentary vessels are seen on the right hemithorax

     
    Area of Interest: Cardiovascular system; Thorax; Vascular; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Education; Special Focus: Congenital;
     
     
Postero anterior view of chest radiograph shows loss of right lung volume and mediastinal shift towards the right, with hyperinflation of the left lung
 
At the level of the carina, the difference in lung volume and deviation of the mediastinum to the right areclear as well as is the hyperinflation of the left lung
 
At the level of the lung hila, there is discrete centrilobular emphysema of the right lung
 
At the level of the lung bases, in the right lung base there is a discrete mosaic pattern
 
At the level of the main pulmonary artery and left pulmonary artery, no right pulmonary artery is identifiable
 
At a lower level the diminished vasculature of the right lung is evident, since no segmentary and subsegmentary arteries are seen in the right lung
 
Volume rendering reconstruction of the thoracic vessels, no right pulmonary artery or segmentar and subsegmentary vessels are seen on the right hemithorax
 
 
 
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