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Updated: Jun 14, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Right lung hypoplasia associated with polysplenia: A case report and literature review
1From the Internal Medicine Department, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Khobar, Kingdom of Saudi Arabia.
Insights
Pulmonary agenesis, a rare congenital lung defect, can be challenging to diagnose early. This case highlights a unique adult presentation of a single-lobed right lung with dextroposition and polysplenia.
Area of Science:
- Medical Imaging
- Radiology
- Congenital Abnormalities
Background:
- Pulmonary agenesis is a rare congenital lung malformation often diagnosed late in life.
- It can present with other congenital anomalies, including cardiac and gastrointestinal issues.
- Computed tomography (CT) aids in visualizing pulmonary and vascular structures.
Observation:
- A case of an adult male with dextroposition of the heart is presented.
- The patient was found to have a unilobed right lung.
- Associated polysplenia was also noted.
Findings:
- This specific combination of a unilobed right lung, dextroposition, and polysplenia in an adult is unprecedented in medical literature.
- CT imaging provided detailed anatomical insights.
Implications:
- This case expands the known spectrum of pulmonary agenesis presentations.
- It underscores the importance of advanced imaging like CT in diagnosing rare congenital conditions.
- Further research may elucidate the embryological links between these associated anomalies.
Abstract:
Pulmonary agenesis is a very rare congenital abnormality that can be missed in a routine radiographic examination, which delays diagnosis until adulthood. It can be associated with other congenital malformations, such as valvular heart disease and gastrointestinal organ abnormalities. Computed tomography (CT) is a useful modality for its better delineation of pulmonary and vascular structures. The reported case here is for an adult male who presented with dextroposition of the heart and was found to have a unilobed right lung associated with polysplenia. This has not been previously reported in the literature.
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