Abstract
A 5-year-old girl presents with a 4-day history of fever. Routinely recommended immunizations were complete. Blood work showed 24,500 leukocytes with 89% neutrophils. A plain chest radiograph was performed and antibiotic treatment was initiated. Thoracic ultrasound was ordered due to poor clinical evolution.
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Books
Donelly L et al (2005) Diagnostic imaging. Pediatrics, vol 2. Amirsys, Salt Lake City, UT, pp 90–92
Hansell Armstrong Lynch Mc Adams. Torax diagnóstico radiológico. 4º ed 2007, Ed. Marban SL
Keane JF, Lock JE, Flyer DC (2006) Nadas pediatric cardiology, 2nd ed. W.B. Saunders, Philadelphia, ISBN: 978-1416023906
Lee J, Sagel SS, Stanley RJ, Heiken JP (eds) (2003) Computed body tomography with MRI correlation, 4th edn. Lippincott Williams & Wilkins, Philadelphia, PA
Lucaya J, Strife JL (2002) Pediatric chest imaging. Chest imaging in infants and children. Springer, Berlin
Lucaya J, Strife JL (2007) Pediatric chest imaging. Springer, Berlin
McHugh K (2008) Chest tumours other than Lymphoma. In: Lucaya J, Strife JL (eds) Pediatric chest imaging, 2nd edn. Springer-Verlag, Berlin, Heidelberg, pp 263–2287
Restrepo CS, Bardo DME (2010a) Cardiac imaging, RadCases Series. Thieme Medical Publishers, New York
Restrepo CS, Bardo DME (2010b) Cardiac imaging: RadCases series. Thieme Medical Publishers, New York
Salcedo Posadas A, García Novo MD (1997) Fibrosis Quística. Ed Roche, 1º edición
Web Link
Berger S (2010) Pulmonary artery sling. Emedicine: WebMD. Last updated March 25, 2010, http://emedicine.medscape.com/article/898075-overview
Gupta M (2010) Partial anomalous pulmonary venous connection. Emedicine: WebMD. Last updated: May 24, 2010, http://emedicine.medscape.com/article/897686-overview
http://www.emedicine.medscape.com/article/150369-diagnosis. Accessed December 5, 2009
Articles
Abbruzzese PA, Aidala E (2007) Aortic coarctation: an overview. J Cardiovasc Med Hagerstown 8:123–128
Ampofo K, Byington C (2007) Management of parapneumonic empyema. Pediatr Infect Dis J 26:445–446
Andronikou S, Kader E (2001) Bronchial mucoepidermoid tumour in a child presenting with organomegaly due to secondary amyloidosis: case report and review of the literature. Pediatr Radiol 31:348–350
Andronikou S, Joseph E, Lucas S, Brachmeyer S, Du Toit G, Zar H et al (2004) CT scanning for the detection of tuberculous mediastinal and hilar lymphadenopathy in children. Pediatr Radiol 34:232–236
Berko NS (2009) Partial anomalous pulmonary venous return: more common from the left or right lung? Anat Sci Int 84(4):327
Berndon WE (2000) Rings, slings and other things: vascular compression of the infant trachea updated from the mid-century to the millennium – the legacy of Robert E. Gross, MD and Edward B.D. Neuhauser MD. Radiology 216:624–632
Berndon WE, Baker DH, Wung J et al (1984) Complete cartilage-ring tracheal stenosis associated with anomalous left pulmonary artery: The ring-sling complex. Radiology 152:57–64
Bhalla M, Turcios N, Aponte V, Jenkins M, Leitman BS, McCaulley DI et al (1991) Cystic fibrosis: scoring system with thin-section CT. Radiology 179:783–788
Brodoefel H, Vogel M, Hebart H, Einsele H, Vonthein R, Claussen C et al (2006) Long-term CT follow-up in 40 non-HIV immunocompromised patients with invasive pulmonary aspergillosis: kinetics of CT morphology and correlation with clinical findings and outcome. AJR Am J Roentgenol 187:404–413
Brody AS (2004) Scoring systems for CT in cystis fibrosis: who cares? Radiology 231:296–298
Burrill J, Williams CJ, Bain G, Conder G, Hine AL, Misra RR (2007) Tuberculosis: a radiologic review. Radiographics 27:1255–1273
Cademartiri F, Luccichenti G, Palumbo AA, Maffei E, Pisi G, Zompatori M et al (2008) Predictive value of chest CT in patients with cystic fibrosis: a single-center 10-year experience. AJR Am J Roentgenol 190:1475–1480
Cameron R, Davies HR (2004) Intra-pleural fibrinolytic therapy versus conservative management in the treatment of parapneumonic effusions and empyema. Cochrane Database Syst Rev 2:CD002312
Cohen MD (1992b) vol 3. Mosby Year Book, pp 20–38
Collins J, Müller NL, Leung AN, McGuinness G, Mergo PJ, Flint JD et al (1998) Epstein-Barr-virus associated lymphoproliferative disease of the lung: CT and histologic findings. Radiology 208:749–759
Cowley CG, Orsmond GS, Feola P, McQuillan L, Shaddy RE (2005) Long-term, randomized comparison of balloon angioplasty and surgery for native coarctation of the aorta in childhood. Circulation 111:3453–3456
Curtis JM, Lacey D, Smyth R, Carty H (1998) Endobronchial tumours in childhood. Eur J Radiol 29:11–20
de Jong PA, Ottink MD, Robben SG, Lequin MH, Hop WC, Hendriks JJ et al (2004) Pulmonary disease assessment in cystic fibrosis: comparison of CT socring systems and value of bronchial and arterial dimension measurements. Radiology 231:434–439
Deiros Bronte L, Baquero-Artigao F, García-Miguel MJ, Hernández González N, Peña García P, del Castillo Martín F (2006) Parapneumonic pleural effusion: an 11-year review. Pediatr Barc 64:40–45
Demos TC, Posniak HV, Pierce KL, Olson MC, Muscato M (2004) Venous anomalies of the thorax. AJR Am J Roentgenol 182:1139–1150
Donnelly L (1999) Maximizing the usefulness of imaging in children with community-acquired pneumonia. AJR Am J Roentgenol 172:505–512
DS LK, Levett JM, Replogle RL (1985) Partial anomalous pulmonary venous return: a ten year experience. Tex Heart Inst J 12(3):239–243
Fauroux B, Aynie V, Larroquet M et al (2005) Carcinoid and mucoepidermoid bronchial tumours in children. Eur J Pediatr 164:748–752
Festa P, Ait-Ali L, Cerillo AG, De Marchi D, Murzi B (2006) Magnetic resonance imaging is the diagnostic tool of choice in the preoperative evaluation of patients with partial anomalous pulmonary venous return. Int J Cardiovasc Imaging 22(5):685–693
Flume PA (2003) FCCP: pneumothorax in cystic fibrosis. Chest 123:217–221
Franquet T, Muller NL, Gimenez A, Guembe P, de La TJ, Bague S (2001) Spectrum of pulmonary aspergillosis: histologic, clinical, and radiologic findings. Radiographics 21:825–837
Franquet T, Gimenez A, Hidalgo A (2004) Imaging of opportunistic fungal infections in immunocompromised patient. Eur J Radiol 51:130–138
Gikonyo BM, Jue KL, Edwards JE (1989) Pulmonary vascular sling: Report of seven cases and review of the literature. Pedriatr Cardiol 10:81–89
Greenberg SB (1991) Viral pneumoia. Infect Dis Clin North Am 5:603–621
Greene R (2005) The radiological spectrum of pulmonary aspergillosis. Med Mycol 43(Suppl 1):S147–S154
Gurney JW, Habbe TG, Hicking J (1997) Distribution of disease in cystis fibrosis: correlation with pulmonary function. Chest 112:357–362
Hachem R, Sumoza D, Hanna H, Girgawy E, Munsell M, Raad I (2006) Clinical and radiologic predictors of invasive pulmonary aspergillosis in cancer patients: should the European Organization for Research and Treatment of Cancer/Mycosis Study Group (EORTC/MSG) criteria be revised? Cancer 106:1581–1586
Hamm H, Light RW (1997) The pleura: the outer space of pulmonary medicine. Eur Respir J 10:2–3
Han BK, Son JA, Yoon HK, Lee SI (1998) Epidemic adenoviral lower respiratroy tract infection in pediatric patients:radiographic and clinical characteristics. AJR Am J Roentgenol 170:1077–1080
Hardie W, Bokulic R, Garcia VF, Reising SF, Christie CD (1996) Pneumococcal pleural empyemas in children. Clin Infect Dis 22:1057–1063
Harisinghani MG, McLoud TC, Shepard JA, Ko JP, Shroff MM, Mueller PR (2000) Tuberculosis from head to toe. Radiographics 20:449–470
Hisatomi K, Eishi K, Hashizume K, Miura T, Taniguchi S, Hashimoto W (2010) Partial anomalous pulmonary venous return. Asian Cardiovasc Thorac Ann 18(2):203–204
Hollingsworth CL, Yoshizumi TT, Frush DP, Chan FP, Toncheva G, Nguyen G et al (2007) Pediatric cardiac-gated CT angiography: assessment of radiation dose. AJR Am J Roentgenol 189:12–18
Hom JJ, Ordovas K, Reddy GP (2008) Velocity-encoded cine MR imaging in aortic coarctation: functional assessment of hemodynamic events. Radiographics 28:407–416
Hornung TS, Benson LN, McLaughlin PR (2002) Interventions for aortic coartation. Cardiol Rev 10:139–148
Indolfi P, Casale F, Bisogno G, Ninfo V, Cecchetto G, Bagnulo S et al (2000) Pleuropulmonary blastoma management in prognosis of 11 cases. Cancer 89:1396–1401
Jeong YJ, Lee KS (2008) Pulmonary tuberculosis: up-to-date imaging and management. AJR Am J Roentgenol 191:834–844
Karnak I, Akçören Z, Senocak ME (2000) Endobronchial leiomyoma in children. Eur J Pediatr Surg 10:136–139
Katz SL, Das P, Ngan BY et al (2005) Remote intrapulmonary spread of recurrent respiratory papillomatosis with malignant transformation. Pediatr Pulmonol 39:185–188
Kim WS, Moon WK, Kim IO, Lee HJ, Im JG, Yeon KM et al (1997) Pulmonary tuberculosis in children: evaluation with CT. AJR Am J Roentgenol 168:1005–1009
Kim HY, Song KS, Goo JM, Lee JS, Lee KS, Lim TH (2001) Thoracic sequelae and complications of tuberculosis. Radiographics 21:839–858
Kim EA, Lee KS, Primack SL, Yoon HK, byun HS, Kim TS et al (2002) Viral pneumonias in adults: radiologic and pathologic findings. Radiographics 22:s137–s149
Kim WS, Choi JI, Cheon JE, Kim IO, Yeon KM, Lee HJ (2006) Pulmonary tuberculosis in infants: radiographic and CT findings. AJR Am J Roentgenol 187:1024–1033
Kobayashi D, Cook AL, Williams DA (2010) Anomalous origin of left pulmonary artery from the aorta with partial anomalous pulmonary venous return. Pediatr Cardiol 31(4):560–561
Kocaoglu M, Bulakbasi N, Soylu K et al (2006) Thin-section axial multidetector computed tomography and multiplanar reformatted imaging of children with suspected foreign-body aspiration: Is virtual bronchoscopy overemphasized? Acta Radiol 47:746–751
Konen E, Merchant N, Provost Y, McLaughlin PR, Crossin J, Paul NS (2004) Coarctation of the aorta before and after correction: the role of cardiovascular MRI. AJR Am J Roentgenol 182:1333–1339
Kula S, Sanli C, Oner AY, Olguntürk R (2010) Partial anomalous pulmonary venous return associated with coarctation of the aorta. Anadolu Kardiyol Derg 10(1):1–2
Langston C (2003) New concepts in the pathology of congenital lung malformations. Semin Pediatr Surg 12:17–37
Lapierre C, Siles A, Bigras JL (2010) Partial anomalous pulmonary venous return to the azygos vein: an unusual case. Pediatr Cardiol 31(5):749–750, Epub 2010 Feb 27
Lee EY (2007) MDCT and 3D evaluation of type 2 hypoplastic pulmonary artery sling associated with right lung agenesis, hypoplastic aortic arch, and long segment tracheal stenosis. J Thorac Imaging 22(4):346–350
Lee KH, Yoon CS, Choe KO, Kim MJ, Lee HM, Yoon HK, Kim B (2001) Use of imaging for assessing anatomical relationships of tracheobronchial anomalies associated with left pulmonary artery sling. Pediatr Radiol 31(4):269–278
Lee YR, Choi YW, Lee KJ, Jeon SC, Park CK, Heo JN (2005) CT halo sign: the spectrum of pulmonary diseases. Br J Radiol 78:862–865
Leung AN, Müller NL, Pineda PR, FitzGerald JM (1992) Primary tuberculosis in childhood: radiographic manifestations. Radiology 182:87–91
Lin CJ, Chen PY, Huang FL, Lee T, Chi CS, Lin CY (2006) Radiographic, clinical, and prognostic features of complicated and uncomplicated community-acquired lobar pneumonia in children. J Microbiol Immunol Infect 39:489–495
Linnae B, Robinson P, Ranganathan S, Stick S, Murray C (2008) Role of high-resolution computed tomography in the detection of early cystic fibrosis lung disease. Paediatr Respir Rev 9:168–175
MacSweeney F, Papagianopouos K, Goldstraw P, Sheppard MN, Corrin B, Nicholson AG (2003) An assessment of the expanded classification of congenital cystic adenomatoid malformations and their relationship to malignant transformation. Am J Surg Pathol 27:1139–1146
Manivel JC, Priest JR, Watterson BA, Steiner M, Woods WG, Wick MR et al (1988) Pulmonary blastoma: the so-called pulmonary blastoma of childhood. Cancer 62:1516–1526
Marais BJ, Gie RP, Schaaf HS, Starke JR, Hesseling AC, Donald PR et al (2004) A proposed radiological classification of childhood intra-thoracic tuberculosis. Pediatr Radiol 34:886–894
Margolin FR, Gandy TK (1979) Pneumonia of atypical measles. Radiology 131:653–655
Maziak DE, Todd TR, Keshavjee SH et al (1996) Adenoid cystic carcinoma of the airway: thirty-two-year experience. J Thorac Cardiovasc Surg 112:1522–1531
McIntosh K (2002) Community-acquired pneumonia in children. N Engl J Med 346:429–437
Miniati DN, Chintagumpala M, Langston C, Dishop MK, Olutoye OO, Nuchetern JG et al (2006) Prenatal presentation and outcome of children with pleuropulmonary blastoma. J Pediatr Surg 41:66–71
Mitnick J, Becker MH, Rothberg M, Genieser NB (1980) Nodular residua of atipycal measles pneumonia. AJR Am J Roentgenol 134:257–260
Muller FM, Trusen A, Weig M (2002) Clinical manifestations and diagnosis of invasive aspergillosis in immunocompromised children. Eur J Pediatr 161:563–574
Naffaa LN, Donelly LF (2005) Imaging findings in pleuropulmonary blastoma. Pediatr Radiol 35:387–391
Newman B, Cho Y (2010) Left pulmonary artery sling–anatomy and imaging. Semin Ultrasound CT MR 31(2):158–170
Newman B, Meza MP, Towbin RB, Del Nido P (1996) Left pulmonary artery sling: diagnosis and delineation of associated tracheobronchial anomalies with MR. Pediatr Radiol 26:661–668
Nielsen JC, Powell AJ, Gauvreau K, Marcus EN, Prakash A, Geva T (2005) Magnetic resonance imaging predictors of coarctation severity. Circulation 111:622–628
Ogra PL (2004) Respiratory syncytial virus: the virus, the disease and the immune response. Paediatr Respir Rev 5(Suppl A):s119–s126
Olson MA, Becker GJ (1986) The scimitar syndrome: CT findings in partial anomalous pulmonary venous return. Radiology 159:25–26
Orazi C, Inserra A, Schingo PM, De Sio L, Cutrera R, Boldrini R et al (2007) Pleuropulmonary blastoma, a distinctive neoplasm of childhood: report of three cases. Pediatr Radiol 37:337–344
Ortigado Matamala A, García García A, Galicia Poblet G, Jiménez Bustos JM, De Juan Sánchez C (2010) Asymptomatic pulmonary artery sling: noninvasive diagnosis. Pediatr Barc 72(3):205–209
Papagianopoulos PA, Shepard M (2001) Pleuropulmonary blastoma: is prophylactic resection of congenital cyst effective? Ann Thorac Surg 72:604–605
Parrón M, Torres I, Pardo M (2008) The halo sign in computed tomography images: differential diagnosis and correlation with pathology findings. Arch Bronconeumol 44:386–392
Priest JR, McDermott MB, Bhatia S, Watterson J, Manivel JC, Dehner LP (1997) pleuropulmonary blastoma: a clinicopathological study of 50 cases. Cancer 80:147–161
Primack SL, Hartman TE, Lee KS, Muller NL (1994) Pulmonary nodules and the CT halo sign. Radiology 190:513–515
Quimbao BP, Gatchalian SR, Halonen P, Lucero M, Sombrero L, Paladin Fj et al (1998) Coinfection is common in measles-associated pneumonia. Pediatr Infect Dis J 17:89–93
Ramnath RR, Heller RM, Ben-Ami T et al (1998) Implications of early sonographic evaluation of parapneumonic effusions in children with pneumonia. Pediatrics 101:68–71
Ratjen F, Döping G (2003) Cystic fibrosis. Lancet 361:681–689
Riesenkampff EM, Schmitt B, Schnackenburg B, Huebler M, Alexi-Meskishvili V, Hetzer R, Berger F, Kuehne T (2009) Partial anomalous pulmonary venous drainage in young pediatric patients: the role of magnetic resonance imaging. Pediatr Cardiol 30(4):458–464
Rosenthal E (2005) Coarctation of the aorta from fetus to adult: curable condition or life long disease process? Heart 91:1495–1502
Salcedo Posadas A, Neira Rodríguez MA, Sequeiros González A, Girón Moreno R (1996) Transition between childhood and adulthood in cystic fibrosis. An Esp Pediatr 45:455–458
Shah RM, Sexauer W, Ostrum BJ, Fiel SB, Friedman AC (1997) High-resolution CT in the acute exacerbation of cystic fibrosis: evaluation of acute findings, reversibility of those findings, and clinical correlation. AJR Am J Roentgenol 169:375–380
Shih MC, Tholpady A, Kramer CM, Sydnor MK, Hagspiel KD (2006) Surgical and endovascular repair of aortic coarctation: normal findings and appearance of complications on CT angiography and MR angiography. AJR Am J Roentgenol 187:W302–W312
Soldatski IL, Onufrieva EK, Steklov AM, Schepin NV (2005) Tracheal, bronchial, and pulmonary papillomatosis in children. Laryngoscope 115:1848–1854
Tanaka N, Matsumoto T, Miura G, Emoto T, Matsunaga N (2002) HRCT findings of chest complications in patients with leukemia. Eur Radiol 12:1512–1522
Tateishi A, Kawada M (2009) Partial form of a pulmonary artery sling. Ann Thorac Surg 87(3):965
Thomas KE, Owens CM, Veys PA, Novelli V, Costoli V (2003) The radiological spectrum of invasive aspergillosis in children: a 10-year review. Pediatr Radiol 33:453–460
Van Dyck P, Vanhoenacker FM, Van den Brande P, De Schepper AM (2003) Imaging of pulmonary tuberculosis. Eur Radiol 13:1771–1785
von Schulthess GK, Higashino SM, Higgins SS, Didier D, Fisher MR, Higgins CB (1986) Coarctation of the aorta: MR imaging. Radiology 158:469–474
Welsh JH, Maxson T, Jaksic T et al (1998) Tracheobronchial mucoepidermoid carcinoma in childhood and adolescence: case report and review of the literature. Int J Pediatr Otorhinolaryngol 45:265–273
Wennergren G, Kristjánsson S (2001) Relationship between respiratory syncytial virus bronchiolitis and future obstructive airway diseases. Eur Respir J 18:1044–1058
Wright JR (2000) Pleuropulmonary blastoma. A case report documenting transition from type I (cystic) to type III (solid). Cancer 88:2853–2858
Yedururi S, Guillerman RP, Chung T et al (2008) Multimodality imaging of tracheobronchial disorders in children. Radiographics 28:e29
Zhong YM, Jaffe RB, Zhu M, Gao W, Sun AM, Wang Q (2010) CT assessment of tracheobronchial anomaly in left pulmonary artery sling. Pediatr Radiol, May 19
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León, M.I.M., Gutiérrez, J.E., Ruiz, L.C. (2011). Thorax. In: Learning Pediatric Imaging. Learning Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-16892-5_4
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