PMC4603592_01
Portable anteroposterior chest radiography revealed a loss of permeability in the left lung field and mediastinal deviation to the left.
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Chest radiography revealed a hypolucent left lung and mediastinal deviation to the left (Figure 1).
A transverse CT image (A) and an MPR coronal image (B) depicted the fusion of the posterior parts of the right and left lungs around the ventral esophagus (black arrows). A coronal MinIP image (C) demonstrating that the left hypoplastic bronchus had deviated towards the isthmus (white arrow).
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DSCT revealed left lung hypoplasia and lung parenchymal tissue behind the heart and anterior to the esophagus, and mediastinal deviation to the left (Figure 2). MinIP and MIP images (Figures 2C, 3B) revealed that the bronchi and pulmonary artery that fed the isthmus of lung parenchymal tissue originated from the left main bronchus and left pulmonary artery, respectively.
(A) The left pulmonary artery was visualized on volume rendering images. The left pulmonary artery curved to the right immediately after it diverged from the pulmonary artery (arrow). (B) Coronal MIP images revealed that the pulmonary artery that supplied the isthmus of lung parenchymal tissue originated from the left pulmonary artery (dashed arrows).
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Contrast-enhanced CT (CE-CT) images showed that the left pulmonary artery curved to the right at its origin (Figure 3). MinIP and MIP images (Figures 2C, 3B) revealed that the bronchi and pulmonary artery that fed the isthmus of lung parenchymal tissue originated from the left main bronchus and left pulmonary artery, respectively.
Contrast-enhanced sagittal (A) and transverse MRP images (B) revealed a VSD (black arrow) and an ASD (white arrow), respectively.
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A VSD and an ASD were also detected on CE-CT with sagittal and axial MPR images (Figure 4).