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Case Reports in Radiology
Volume 2011 (2011), Article ID 659586, 6 pages
http://dx.doi.org/10.1155/2011/659586
Case Report

3D Imaging in Unilateral Primary Pulmonary Hypoplasia in an Adult: A Case Report

1Emergency Clinical County Hospital of Craiova, Prima Medical SRL Craiova, No. 1, Tabaci Street, 200642 Craiova, Romania
2Clinical Infectious Diseases and Pneumo-ftysiology Hospital “V. Babes” Craiova, No. 126, Calea Bucuresti Street, 200515 Craiova, Romania

Received 21 June 2011; Accepted 16 August 2011

Academic Editors: A. Agrawal and P. E. Andersen

Copyright © 2011 Aristida Georgescu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Unilateral primary pulmonary hypoplasia is rare in adulthood (UPHA); it is characterized by a decreased number of bronchial segmentation and decreased/absent alveolar air space. Classical chest X-ray may be confusing, and the biological tests are unspecific. We present a case of UPHA in a 60-year-old female, smoker, with 3 term normal deliveries, who presented with late recurrent pneumonias and bronchiectasis-type symptomathology, arterial hypertension, and obesity. Chest X-rays revealed opacity in the left lower pulmonary zone, an apparent hypoaerated upper left lobe and left deviation of the mediastinum. Preoperatory multidetector computer tomography (MDCT) presented a small retrocardiac left lung with 5-6 bronchial segmentation range and cystic appearance. After pneumonectomy the gross specimen showed a small lung with multiple bronchiectasis and small cysts, lined by hyperplasic epithelium, surrounded by stromal fibrosclerosis. We concluded that this UPHA occurred in the 4–7 embryonic weeks, and the 3D MDCT reconstructions offered the best noninvasive diagnosis.