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Case ReportCase Reports and Clinical Observations

Incidental Finding of Bronchopulmonary Sequestration in a 64-Year-Old Female

Pichapong Tunsupon, Ayesha Arshad, Sumit Patel and M. Jeffery Mador
Ochsner Journal September 2017, 17 (3) 288-291;
Pichapong Tunsupon
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Western New York Veterans Administration Health Care System, Affiliated With State University of New York, Buffalo, NY
MD
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Ayesha Arshad
2Department of Pathology, Western New York Veterans Administration Health Care System, Affiliated With State University of New York, Buffalo, NY
MD
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Sumit Patel
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Western New York Veterans Administration Health Care System, Affiliated With State University of New York, Buffalo, NY
MD
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M. Jeffery Mador
1Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Western New York Veterans Administration Health Care System, Affiliated With State University of New York, Buffalo, NY
MD
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    Figure 1.

    Axial (A and B) and coronal (C) computed tomography views of the chest with contrast show cystic changes with thickened septation of the medial segment of the right lower lobe lacking distinct visceral pleura with arterial supply from an anomalous branch of the thoracic aorta arising near the celiac trunk. No definite anomalous venous drainage was identified.

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    Figure 2.

    Axial (A and B) and coronal (C) computed tomography views of the chest without contrast from 3 years before presentation show cystic structures with intracystic fluid.

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    Figure 3.

    Gross images of the lobectomy specimen show a circumscribed area of intralobar pulmonary sequestration with common visceral pleural investment and normal lung and separate systemic arterial supply. (To see this image in color, visit https://education.ochsner.org/publishing-services/toc/tunsupon-17-0005-fig3.)

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    Figure 4.

    A: Systemic arterial feeder with atherosclerotic changes. B: Sharp junction of normal lung with intralobar pulmonary sequestration shows common visceral pleural investment. C: Intralobar pulmonary sequestration shows prominent vessels (5-point star), dilated bronchi (4-point star), and fibrotic stroma (6-point star) (hematoxylin and eosin stain, 2×). (To see this image in color, visit https://education.ochsner.org/publishing-services/toc/tunsupon-17-0005-fig4.)

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Ochsner Journal
Vol. 17, Issue 3
Sep 2017
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Incidental Finding of Bronchopulmonary Sequestration in a 64-Year-Old Female
Pichapong Tunsupon, Ayesha Arshad, Sumit Patel, M. Jeffery Mador
Ochsner Journal Sep 2017, 17 (3) 288-291;

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Incidental Finding of Bronchopulmonary Sequestration in a 64-Year-Old Female
Pichapong Tunsupon, Ayesha Arshad, Sumit Patel, M. Jeffery Mador
Ochsner Journal Sep 2017, 17 (3) 288-291;
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Keywords

  • Bronchopulmonary sequestration
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