PMC6398055_01
Chest X-ray of a 13-month-old male child showing bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side.
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A chest X-ray showed bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side (Figure 1).
CTVB showing signs of pneumonia and indications of a bronchial foreign body (indicated by arrow).
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The CTVB also showed signs of pneumonia and indications of a bronchial foreign body (Figure 2).
Chest X-ray showing continued presence of bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side.
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The chest X-ray showed that bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side were still present (Figure 3).
Bronchoscopy showing airway dysplasia: O-type tracheal cartilage (a) and stenosis in the left bronchus (b).
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We treated the bronchopneumonia and made an appointment for flex electronic bronchoscopy, which revealed airway dysplasia, O-shaped tracheal cartilage, and stenosis of the left bronchus (Figure 4).
Echocardiograms showing PAS.
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In order to differentiate between potential congenital, inflammatory, or vascular compression-related etiologies of the stenosis, an echocardiogram was undertaken revealing a PAS (Figure 5).
CT angiography (a) and 3D reconstruction (b) showing the anomalous origin of the left pulmonary artery (LPA) from the posterior aspect of the right pulmonary artery (RPA).
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A further cardiac computed tomography (CT) angiography confirmed the diagnosis (Figure 6).