We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Radiological Case of the Month

Andrew A. Colin, MD; Julian L. Allen, MD; Charles B. Berde, MD, PhD; N. Thorne Griscom, MD; John E. Hall, MD; Lionel W. Young, MD
Am J Dis Child. 1988;142(5):545-546. doi:10.1001/archpedi.1988.02150050083038.
Text Size: A A A
Published online


At age 12 years, a young man underwent posterior vertebral fusion with Harrington distraction and compression rods for correction of progressive thoracic scoliosis diagnosed when he was 8 years old. Four years after the operation, breath sounds on auscultation were decreased over the right lower portion of the chest, and roentgenography demonstrated a collapsed right lower lobe (Fig 1). The slow but progressive decrease in ventilatory function required corrective vertebral operation at age 21 years, in an attempt to obtain a mild kyphosis rather than the marked thoracic lordosis that followed his first vertebral fusion. Respiratory difficulty persisted, and the collapsed lobes in the right lung did not reexpand.

Denouement and Discussion  Bronchial Compression and Ventilatory Dysfunction in ScoliosisA xenon Xe 133 ventilation scan (Fig 2) showed absence of ventilation of the whole right lung, including the air-containing upper lobe. A computed tomographic (CT) scan (Fig 3) showed that


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.