Roque A S, Burton E M, Boedy R F, Falls G, Bhatia J S
Department of Pediatrics, Medical College of Georgia, Augusta 30912-3900, USA.
South Med J. 1997 Mar;90(3):335-7. doi: 10.1097/00007611-199703000-00015.
A radiographic hallmark in pulmonary agenesis is opacification of the ipsilateral hemithorax with displacement of the mediastinum in the direction of the agenetic lung. We believe this case report is the first in which the mediastinum was not displaced; instead, the liver and intact hemidiaphragm were displaced cephalad, preventing cardiac malposition. Contrast-enhanced computed tomography enabled us to diagnose this anomaly precisely.
肺发育不全的一个影像学特征是同侧半侧胸腔致密影,纵隔向肺发育不全侧移位。我们认为本病例报告是首例纵隔未发生移位的情况;相反,肝脏和完整的半侧膈肌向上移位,从而防止了心脏异位。增强计算机断层扫描使我们能够精确诊断这一异常情况。