Congenital lobar emphysema

Tibana, Tiago Kojun; Camilo, Denise Maria Rissato; Nunes, Thiago Franchi; Marchiori, Edson

doi:10.1590/0100-3984.2017.0138

Cited by 6 publications

(2 citation statements)

References 12 publications

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“…Recent studies conducted in Brazil have highlighted the importance of CT in the evaluation of thoracic diseases (27)(28)(29)(30)(31)(32)(33)(34) . However, the role of DWI has been little emphasized.…”

Section: Discussionmentioning

confidence: 99%

Diffusion-weighted magnetic resonance imaging for differentiating between benign and malignant thoracic lymph nodes: a meta-analysis

et al. 2021

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Objective: To establish the diagnostic performance of diffusion-weighted magnetic resonance imaging (DWI) in discriminating malignant from non-malignant thoracic lymph nodes. Materials and Methods: This was a meta-analysis involving systematic searches of the MEDLINE, EMBASE, and Web of Science databases up through April 2020. Studies reporting thoracic DWI and lymph node evaluation were included. The pooled sensitivity, specificity, diagnostic odds ratio, positive predictive value, negative predictive value, and area under the receiver operating characteristic curve (AUC) were calculated. Results: We evaluated six studies, involving a collective total of 356 mediastinal lymph nodes in 214 patients. Thoracic DWI had a pooled sensitivity and specificity of 92% (95% confidence interval [95% CI]: 71-98%) and 93% (95% CI: 79-98%), respectively. The positive and negative likelihood ratios were 13.2 (95% CI: 4.0-43.8) and 0.09 (95% CI: 0.02-0.36), respectively. The diagnostic odds ratio was 149 (95% CI: 18-1,243), and the AUC was 0.97 (95% CI: 0.95-0.98). Conclusion: DWI is a reproducible technique and has demonstrated high accuracy for differentiating between malignant and benign states in thoracic lymph nodes.

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Section: Discussionmentioning

confidence: 99%

Diffusion-weighted magnetic resonance imaging for differentiating between benign and malignant thoracic lymph nodes: a meta-analysis

et al. 2021

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“…One retrospective cohort study including 53 confirmed patients with CLE undergoing surgical management found that 75.5% were not detected antenatally, highlighting the need to consider this diagnosis in patients in the first few days to weeks of life with respiratory distress, as in this case 8. The majority of patients are diagnosed in the first few weeks of life and almost all before 6 months of age 9. The initial presentation of respiratory distress at 1day old would likely have been related to CLE with the very subtle X-ray signs of CLE making it difficult to diagnose (figure 4).…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic pneumothorax in a 4-week-old girl: new diagnosis of congenital lobar emphysema

et al. 2020

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A 4-week-old female patient presented with severe respiratory distress, hypoxia and apnoeic episodes on a background of a few-day history of coryza and cough. There was significantly reduced air entry on the left side and a displacement of the apex beat to the right of the chest. The examination findings with oxygen desaturations and a right-sided mediastinal shift on chest X-ray led to a diagnosis of tension pneumothorax following which a needle thoracentesis was undertaken. This appeared to worsen the patient’s clinical condition; hence, a chest drain was inserted with unsatisfactory clinical improvement. In view of the presentation and lack of clinical improvement after chest drain insertion, the case was transferred to the paediatric respiratory team in a tertiary centre where the diagnosis was revised to congenital lobar emphysema based on chest computer tomography findings. She subsequently benefited from a left upper lobectomy and lingulectomy and was discharged home 4 days after surgery.

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Lymphocytic interstitial pneumonia: computed tomography findings in 36 patients

et al. 2020

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Objective: To analyze the computed tomography (CT) findings of lymphocytic interstitial pneumonia (LIP). Materials and Methods: We retrospectively reviewed the clinical and CT findings of 36 patients with LIP, including 25 women and 11 men, with a mean age of 52.5 years (age range, 22-78 years). Results: The main associated diseases with LIP were Sjögren syndrome (42%), human immunodeficiency virus infection (17%), amyloidosis (17%), Sjögren syndrome associated with secondary amyloidosis (11%), idiopathic (8%), and systemic lupus erythematosus (5%). The predominant CT abnormalities were multiple cystic airspaces (n = 35), small nodules (n = 15), ground-glass opacities (n = 13), bronchiectasis and/or bronchiolectasis (n = 8), and thickening of the bronchovascular bundles (n = 8). Other CT findings included reticular opacities (n = 7), calcified nodules (n = 4), airspace consolidation (n = 4), emphysema (n = 3), honeycombing (n = 3), lymph node enlargement (n = 2), mosaic attenuation pattern (n = 1), and cavitated nodules (n = 1). Conclusion: The main CT findings of LIP were multiple cysts, small nodules, and ground-glass opacities.

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Congenital lobar emphysema

Cited by 6 publications

References 12 publications

Diffusion-weighted magnetic resonance imaging for differentiating between benign and malignant thoracic lymph nodes: a meta-analysis

Diffusion-weighted magnetic resonance imaging for differentiating between benign and malignant thoracic lymph nodes: a meta-analysis

Iatrogenic pneumothorax in a 4-week-old girl: new diagnosis of congenital lobar emphysema

Lymphocytic interstitial pneumonia: computed tomography findings in 36 patients

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