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OpenAthens Shibboleth
Special Feature
June 1999

Radiological Case of the Month

Author Affiliations

From the Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland.




Copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.1999

Arch Pediatr Adolesc Med. 1999;153(6):645. doi:10.1001/archpedi.153.6.645

A FEMALE INFANT was born at 37.5 weeks' gestation, after an uneventful antenatal period and delivery. The Apgar scores were 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 3.3 kg. Thirty minutes after delivery she was noted to be tachypneic and hypothermic. Auscultation of her chest revealed decreased breath sounds on the right side. A chest radiograph was performed after transfer to the neonatal intensive care unit (Figure 1). An echocardiogram revealed a patent ductus arteriosus and a patent foramen ovale. A 4 × 4-cm cystic lesion was noted in the right hemithorax and extending posteriorly and inferiorly. A magnetic resonance imaging scan was performed on day 6 (Figure 2, Figure 3, and Figure 4).