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October 1972, Vol 124, No. 4 >
Article | October 1972

Radiological Case of the Month FREE

John L. Gwinn, MD; Fred A. Lee, MD
[+] Author Affiliations

Received for publication Dec 23, 1971; accepted Dec 30.

Reprint requests to 4650 Sunset Blvd, PO Box 54700, Los Angeles 90054 (Dr. Gwinn).


Am J Dis Child. 1972;124(4):573-574. doi:10.1001/archpedi.1972.02110160111012.
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Clinical History.—A 2-day-old full term boy was transferred to Childrens Hospital of Los Angeles because of respiratory distress. Prenatal and birth histories were unremarkable. He was active and breathed spontaneously at birth. Respiratory distress was noted at approximately 24 hours of age and a roentgenogram of the chest was exposed which showed a mass in the right portion of the thorax.

Physical Examination.—Examination revealed a well developed and well nourished infant in mild respiratory distress. Vital signs were normal except for respiratory rate of 80 breaths per minute. There was slight perioral cyanosis, alar flaring, and chest retractions. The trachea was shifted to the left. Breath sounds were greatly diminished over the right where fine rales and wheezes were also heard. Results of the remainder of the physical examination were normal. Roentgenograms of the chest (Fig 1 and 2) were exposed and a thoracotomy was performed.

Denouement and Discussion 

REFERENCES

1 +
Adams FH, Latta H, el-Salawy A, et al:  The expanded lung of the term fetus . J Pediat 75:59-66, 1969;.
2 +
Griscom NT, Harris GB, Wohl ME, et al:  Fluid-filled lung due to airway obstruction in the newborn . Pediatrics 43:383-390, 1969;.
3 +
Raynor AC, Capp MP, Sealy WC:  Lobar emphysema in infancy . Ann Thorac Surg 4:374-385, 1967;.
4 +
Allen RP, Taylor RL, Reiquam CW:  Congenital lobar emphysema with dilated septal lymphatics . Radiology 86:929-931, 1966;.
5 +
Franken EA Jr, Buehl I:  Infantile lobar emphysema: Report of two cases with unusual roentgenographic manifestation . Amer J Roentgen 98:354-357, 1966;.
6 +
Merenstein GB:  Congenital cystic adenomatoid malformation of the lung . Amer J Dis Child 118:772-776, 1969;.
7 +
Gwinn JL, Lee FA, Murphy GR:  Congenital lobar emphysema . Amer J Dis Child 121:55-56, 1971;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Adams FH, Latta H, el-Salawy A, et al:  The expanded lung of the term fetus . J Pediat 75:59-66, 1969;.
2 +
Griscom NT, Harris GB, Wohl ME, et al:  Fluid-filled lung due to airway obstruction in the newborn . Pediatrics 43:383-390, 1969;.
3 +
Raynor AC, Capp MP, Sealy WC:  Lobar emphysema in infancy . Ann Thorac Surg 4:374-385, 1967;.
4 +
Allen RP, Taylor RL, Reiquam CW:  Congenital lobar emphysema with dilated septal lymphatics . Radiology 86:929-931, 1966;.
5 +
Franken EA Jr, Buehl I:  Infantile lobar emphysema: Report of two cases with unusual roentgenographic manifestation . Amer J Roentgen 98:354-357, 1966;.
6 +
Merenstein GB:  Congenital cystic adenomatoid malformation of the lung . Amer J Dis Child 118:772-776, 1969;.
7 +
Gwinn JL, Lee FA, Murphy GR:  Congenital lobar emphysema . Amer J Dis Child 121:55-56, 1971;.

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