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Intralobar pulmonary sequestration in an elderly adult
Maria Carmela Andrisani1, Raffaella Peschechera, Francesca Reale
1Istituto di Radiologia, Università Cattolica del S. Cuore, Policlinico "A. Gemelli", Roma, Italy. mandrisani@sirm.org
Rays
|July 19, 2005
Summary
A patient presented with persistent respiratory symptoms and fever. Imaging revealed a left lower lobe mass, leading to a suspected diagnosis of intralobar pulmonary sequestration.
Area of Science:
- Pulmonology
- Radiology
- Thoracic Surgery
Background:
- Presents a clinical case of a patient with persistent respiratory symptoms including chest pain, productive cough, fever, and dyspnea.
- Symptoms were refractory to standard antibiotic therapy, prompting further investigation.
Observation:
- Initial chest X-ray suggested inflammatory lung consolidation.
- Subsequent chest CT-angiography identified a lobulated mass in the posterior basal segment of the left lower lobe.
Findings:
- The imaging findings were highly suggestive of intralobar pulmonary sequestration (ILPS).
- ILPS is a congenital lung malformation where lung tissue lacks normal bronchial connection and receives anomalous arterial supply.
Implications:
- Highlights the importance of advanced imaging like CT-angiography in diagnosing rare pulmonary conditions.
- Emphasizes the need to consider intralobar pulmonary sequestration in the differential diagnosis of non-resolving lung consolidations.