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March 1978, Vol 132, No. 3 >
Article | March 1978

Radiological Case of the Month FREE

Lionel W. Young, MD; Kwang Sik Kim, MD; E. T. Sproles, MD
[+] Author Affiliations

Reprint requests to Department of Radiology, Childrens Hospital of Pittsburgh, 125 DeSoto St, Pittsburgh, PA 15213 (Dr Young).


Am J Dis Child. 1978;132(3):311-312. doi:10.1001/archpedi.1978.02120280095020.
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Clinical History.—A 17-month-old boy was admitted to the hospital with asthma. He had been suffering from asthma since the age of 4 months and had had two previous hospitalizations for the control of asthmatic attacks. During the intervals, he was doing well, without any difficulty in breathing. There was a strong maternal family history of asthma.

Physical Examination—He was very active and playful and in no distress. Auscultation and percussion revealed decreased breath sounds and hyper-resonance on the left side, except in the basal area. The right side of his chest was clear. The heart was shifted to the right, with the point of maximum impulse at the tip of the xiphoid. Laboratory findings were normal. A technitium Tc 99m macroaggregated albumin lung scan showed no perfusion of the upper lobe of the left lung, but normal perfusion of the lower lobe and of the entire right lung.

REFERENCES

1 +
Leape LL, Longino LA:  Infantile lobar emphysema . Pediatrics 34:246-255, 1964;.
2 +
Martin DS:  Experiences with acute surgical conditions . Radiol Clin North Am 13:297-329, 1975;.
3 +
Wagner HN Jr:  The use of radioisotope techniques for the evaluation of patients with pulmonary diseases . Am Rev Resp Dis 113:203-218, 1976;.
4 +
Eigen H, Lemen RJ, Waring WW:  Congenital lobar emphysema: Long term evaluation of surgically and conservatively treated children . Am Rev Resp Dis 113:823-831, 1976;.

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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 +
Leape LL, Longino LA:  Infantile lobar emphysema . Pediatrics 34:246-255, 1964;.
2 +
Martin DS:  Experiences with acute surgical conditions . Radiol Clin North Am 13:297-329, 1975;.
3 +
Wagner HN Jr:  The use of radioisotope techniques for the evaluation of patients with pulmonary diseases . Am Rev Resp Dis 113:203-218, 1976;.
4 +
Eigen H, Lemen RJ, Waring WW:  Congenital lobar emphysema: Long term evaluation of surgically and conservatively treated children . Am Rev Resp Dis 113:823-831, 1976;.

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