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Special Feature
Oct 2012

Picture of the Month—Quiz Case

Author Affiliations
 

SECTION EDITOR: SAMIR S. SHAH, MD, MSCE

Author Affiliations: Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran.

Arch Pediatr Adolesc Med. 2012;166(10):959. doi:10.1001/archpediatrics.2012.1647

A 2-month-old boy was referred to our surgical department with complaint of an episode of choking and persistent cough. He had otherwise been healthy. He was in good general condition, without fever or respiratory distress. He had a normal heart rate, a respiratory rate of 34 breaths/min, and a percutaneous oxygen saturation greater than 95%. During a chest examination, decreased breath sounds were noted on the lower right hemithorax. A chest radiograph was obtained (Figure).

Figure. Chest radiograph showing multiple right-sided cystlike lesions (arrow) and mild contralateral displacement of the heart and other mediastinal structures. Scoliosis (double-headed arrow), hemivertebrae (asterisks), and diaphragmatic hernia (arrow) are readily seen.

Figure. Chest radiograph showing multiple right-sided cystlike lesions (arrow) and mild contralateral displacement of the heart and other mediastinal structures. Scoliosis (double-headed arrow), hemivertebrae (asterisks), and diaphragmatic hernia (arrow) are readily seen.

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