Chong Bai, Xiao-Lian Song, Hui Shi, Xiao-Peng Yao, Qiang Li
Department of Respiratory Diseases, Changhai Hospital, China.
Intern Med. 2011;50(17):1829-33. doi: 10.2169/internalmedicine.50.4151. Epub 2011 Sep 1.
Swyer-James syndrome (SJS) is a rare disease probably resulting from bronchiolitis obliterans. The radiological findings of this entity are characterized by hyperlucent appearance of one or more lobes of a unilateral lung, decreased lung volume, diminished ipsilateral hilar shadow and hardly visible arterial structure on chest radiography. We report a 50-year-old patient, who had unilateral right lower lung hyperlucency on chest radiography. However, the patient reported a history of pulmonary atelectasis of lobus centralis dexter in the course and the corresponding affliction of ipsilateral pulmonary vein, that rendered the diagnosis more complicated. The radiological and pathological features of this syndrome, as well as differential diagnosis were also discussed.
斯怀尔-詹姆斯综合征（SJS）是一种罕见疾病，可能由闭塞性细支气管炎引起。该病症的放射学表现特征为单侧肺一个或多个肺叶透亮度增加、肺容积减小、同侧肺门阴影缩小以及胸部X线片上动脉结构几乎不可见。我们报告一名50岁患者，其胸部X线片显示右肺下叶单侧透亮度增加。然而，该患者既往有右中叶肺不张病史以及同侧肺静脉相应病变，这使得诊断更加复杂。本文还讨论了该综合征的放射学和病理学特征以及鉴别诊断。
