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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 30 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 30

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Nine week old female with coughing and wheezing.

Clinical History:
The patient was a nine week old female with coughing spells and wheezing but no fever. The coughing was non productive.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Pneumonia

Imaging Findings:
A chest film demonstrated a paraspinal mass in the chest. A chest CT exam better defined the mass.

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Imaging Differential Diagnosis:
Neuroblastoma, ganglioneuroblastoma, ganglioneuroma.

Operative Findings:
A left thoracotomy was performed. The mass was attached to the posterior mediastinum by a pedicle. It had no connection to the lung. It's arterial supply came from the aorta above the diaphragm. The mass was removed.

Pathological Findings:
Pathological examination revealed findings compatible with an extralobar pulmonary sequestration.

Final Diagnosis:
Extralobar Pulmonary Sequestration

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 16

References:

Title Page


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