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Updated: Jun 6, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Pulmonary asymmetry on chest X-ray
Ricardo Oliveira1, José Diogo Martins, Hugo Marques
1Serviço de Cardiologia, Hospital Reynaldo dos Santos, Vila Franca de Xira, Portugal. ricardogil@netcabo.pt
A rare congenital condition, absent pulmonary artery, was diagnosed in a two-year-old boy. Early detection and monitoring are crucial for preventing potential complications in this asymptomatic patient.
Area of Science:
- Pediatric Cardiology
- Congenital Cardiovascular Anomalies
- Radiology
Background:
- Unilateral absence of a pulmonary artery is a rare congenital abnormality.
- Early diagnosis and intervention are critical for managing this condition and preventing complications.
Observation:
- A two-year-old boy presented with pulmonary asymmetry and mediastinal shift on chest X-ray.
- Diagnostic imaging, including CT scan and pulmonary perfusion scintigraphy, suggested an absent right pulmonary artery.
Findings:
- Right heart catheterization and cardiac magnetic resonance imaging confirmed the absence of the right pulmonary artery.
- The patient was asymptomatic at the time of diagnosis.
Implications:
- This case highlights the importance of recognizing and diagnosing absent pulmonary artery.
- Careful clinical vigilance is recommended for asymptomatic patients to monitor for potential future complications.
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