Swyer-James/McCleod Syndrome
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Congenital Lobar Emphysema
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1
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Recurrent childhood acute bronchiolitis => Obliterative bronchiolitis (adeno-virus)
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Present in first 6mths, respiratory distress
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2
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Hyperlucent lung
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Initially soft tissue density from retained fluid
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3
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Normal/Reduced hemithorax volume
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Overexpanded lobe
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4
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Bronchiectasis
Ventilated by collateral air-drift
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Lt upper lobe > Rt middle lobe > Rt upper lobe
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HRCT:
Reduced vascularity => Ipsilateral small vessel/hilum
Reduced lung attenuation
Air-trapping
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Rx: Resection
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FRCR
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McCleod syndrome vs Congeital Lobar Emphysema
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