1. Intralobar pulmonary sequestration presenting as multiple nodular pulmonary lesions and focal emphysema
- Author
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Tadatsugu Yoshinaga, Makiko Yomota, Kazutoshi Toriyama, Hirokazu Iso, Kie Mirokuji, Shoko Kawai, Kosuke Narita, Mikito Suzuki, Hirotoshi Horio, and Yukio Hosomi
- Subjects
intralobar pulmonary sequestration ,radiology and other imaging ,rare lung diseases ,Diseases of the respiratory system ,RC705-779 - Abstract
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.
- Published
- 2024
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