Unique imaging observations in an incidentally detected bilateral upper lobe agenesis.

BMJ Case Rep

Radiology, Narayana Hrudayalaya Health City Bangalore, Bengaluru, Karnataka, India

Published: November 2024

AI Article Synopsis

  • - Bilateral upper lobe pulmonary agenesis is a rare birth defect typically discovered incidentally in adults, with non-specific and subtle findings on traditional x-rays.
  • - Diagnosis is often missed on regular radiography, but chest CT scans performed for other reasons can reveal this condition.
  • - Contrast-enhanced CT is the best method for diagnosing and detailing the features of pulmonary agenesis, and understanding related pulmonary anomalies is crucial in treating patients with congenital heart issues.

Article Abstract

Bilateral upper lobe pulmonary agenesis is an uncommon congenital anomaly usually detected incidentally in adulthood. Plain radiographic findings are non-specific and subtle, and diagnosis is rarely suspected on conventional radiography despite available subtle clues. Chest CT, done for other indications, is capable of detecting this anomaly. Contrast-enhanced CT is the modality of choice to diagnose and show all features of pulmonary lobar agenesis. Knowledge of the wide spectrum of associated pulmonary anomalies is required in the management of patients with congenital heart disease.

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Source
http://dx.doi.org/10.1136/bcr-2024-262517DOI Listing

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