An easily overlooked cause of haemoptysis and heart failure; anomalous systemic arterial supply to normal lung.

Systemic arterial supply to a segment of normal lung is rare. Usually the anomalous systemic artery arises from the descending aorta, although it can arise from other sites including the coeliac axis. Case reports documenting an anomalous artery to normal lung from the coeliac axis are few.

Serial bronchoalveolar lavage of preterm infants is not associated with chest radiological changes.

Unlabelled: Concern has been raised that serial non-bronchoscopic bronchoalveolar lavage (NB-BAL) may constantly remove surfactant which may result in localised radiological changes. Radiological scores for the lavaged right lower lobe (RLL) were compared with (1) the scores for the unlavaged contra-lateral left lower lobe (LLL) in the NB-BAL group and (2) with the scores of the RLL of control infants not undergoing any formal lavage procedure. NB-BAL was performed daily for 2 weeks and twice weekly thereafter until 28 days of age or until extubation.