Kumar Khavin, Joseph Jeffrey S, Sathiamoorthy Ramprasath, Anand Rajamani, Arulraj Einstien
Department of Radiology, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Chennai, IND.
Cureus. 2024 Jun 25;16(6):e63123. doi: 10.7759/cureus.63123. eCollection 2024 Jun.
Swyer-James syndrome (SJS), also termed MacLeod syndrome, is an acquired secondary unilateral hyperlucency of the lung due to childhood lung infections. This disorder can be diagnosed in children; however if there are few or no symptoms, diagnosis can be missed and can then be detected later in adult life as an incidental finding. We present here the case reports of two patients, where one of them had a unique presentation of unilateral hyperlucency on a chest radiograph and a bilateral mosaic pattern on CT lung but with no history of childhood infections and another case with unilateral hyperlucency of the lung with the history of childhood infection were diagnosed as SJS. This article is important as it highlights the significant radiological finding in accurately diagnosing this condition, when the presenting complaint and past history are inconclusive, thereby guiding proper management.
斯怀尔 - 詹姆斯综合征（SJS），也称为麦克劳德综合征，是一种因儿童期肺部感染导致的后天性继发性单侧肺透亮度增加。这种疾病可在儿童期诊断；然而，如果症状很少或没有症状，可能会漏诊，随后在成年期作为偶然发现被检测到。我们在此展示两例患者的病例报告，其中一例在胸部X光片上有独特的单侧透亮度增加表现，在胸部CT上有双侧马赛克样改变，但无儿童期感染史，另一例有儿童期感染史且肺部单侧透亮度增加的病例被诊断为斯怀尔 - 詹姆斯综合征。本文很重要，因为它强调了在临床表现和既往史不明确时，准确诊断该病的重要影像学发现，从而指导正确的管理。
