From the Department of Pediatrics, Cerraphasa Faculty of Medicine, University of Istanbul, Istanbul, Turkey.
A 3-YEAR-OLD girl had a history of recurrent cough, fever (up to 38.8°C), dyspnea, and weight loss since age 15 months and a family history of tuberculosis. An intradermal tuberculin test (purified protein derivative) had positive results (15 × 15-mm induration). Findings from chest radiograph (Figure 1) revealed a nonhomogeneous pulmonary opacity with irregular borders on the right lower lobe that did not resolve with antituberculous therapy over 1 year. On examination, she had an asymmetrical thorax and minimal intercostal retractions. Breath sounds were decreased over the right lower lobe. Immunoglobulin levels, nitroblue tetrazolium reduction test results, and sweat chloride concentration were within the reference range. Thoracic computed tomography with contrast medium revealed multiple cystic lesions in the right lower lobe, infiltration of the lower lobe, and increase in right lung volume (Figure 2). No foreign body substance was found on bronchoscopy. A right lower lobe superior segmentectomy via thoracotomy was performed. There was no systemic arterial supply to the lesion, excluding intralobar sequestration. The resected lung had a cystic mass (4.0 × 3.5 × 1.5 cm) (Figure 3 and Figure 4). One year after surgical resection, the chest radiograph appeared normal (Figure 5).
Thank you for submitting a comment on this article. It will be reviewed by JAMA Pediatrics editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 1
Customize your page view by dragging & repositioning the boxes below.
The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Evidence Summary and Review 2
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.