Unilateral «hypertransparent» lung in a soldier (clinical observation)

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Abstract

A contract serviceman, 32 years old, was sent to the district clinical hospital with an unproductive cough, shortness of breath, pain in the right side of the chest, «right-sided emphysema» of the lungs, and obstructive syndrome. A chest x-ray revealed a decrease in the volume of the right half of the chest, depletion of the pulmonary pattern, «high» transparency of the right lung, and mediastinal shift. CT angiography of the chest revealed hypertransparency of the right lung, hypoplasia of the main right pulmonary artery and its branches, and multiple bronchiectasis. Thus, a rare diagnosis was made – McLeod syndrome. We have identified no description of such pathology in military personnel in the domestic literature.

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About the authors

A. M. Makarevich

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

заслуженный врач РФ, кандидат медицинских наук, полковник медицинской службы запаса

Russian Federation, Khabarovsk

A. A. Zaitsev

The N.N.Burdenko Main Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Medical Institute of Continuing Education «Russian Biotechnological University (ROSBIOTECH)»

Author for correspondence.
Email: gvkg@mil.ru

заслуженный врач РФ, профессор, полковник медицинской службы 

Russian Federation, Moscow; Moscow

S. M. Bekmurzov

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

полковник медицинской службы

Russian Federation, Khabarovsk

A. V. Shulga

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

майор медицинской службы

Russian Federation, Khabarovsk

T. I. Yakovenko

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru
Russian Federation, Khabarovsk

References

  1. Chauhan S., Yegneswaran B. A rare childhood condition newly diagnosed in a 82-year-old patient // CHEST. – 2016. – Vol. 150, Iss. 4. – P. 643.
  2. Chlapoutakis S., Garmpi A., Trakas N. et al. Recurrent Exacerbations of Chronic Obstructive Pulmonary Disease Reveal Swyer-James-MacLeod Syndrome in a 63 – year - old Patient // Cureus. – 2021. – Vol. 13, N 1. – e12601.
  3. Dirweesh A., Alvarez C., Khan M., Shah N. A unilateral hyperlucent lung - Swyer-James syndrome: A case report and literature review // Respir. Med. Case Rep. – 2017. – Vol. 20. – P. 104–106.
  4. Harrison M., Cowl C. Incidental Diagnosis of Swyer-James-MacLeod Syndrome in a Military Pilot // Aerosp. Med. Hum. Perform. – 2021. – Vol. 92, N 4. – P. 281–285.
  5. Macleod W. Abnormal transradiancy of one lung // Thorax. – 1954. – Vol. 9, N 2. – P. 147–153.
  6. Mathur S., Gupta S., Sarda M. et al. Swyer-James-Macleod syndrome with emphysematous bulla // Indian. Med. Assoc. – 1995. – Vol. 93, N 4. – P. 154.
  7. Moore A.D., Godwin J.D., Dietrich P.A. et al. Swyer-James syndrome: CT findings in eight patients // Am. J. Roentgenol. – 1992. – Vol. 158, N 6. – P. 1211–1215.
  8. Singal K., Bhatti K., Gupta A. et al. Swyer-James-MacLeod syndrome: a rare case // Bangladesh J. Med. Sci. – 2015. – Vol. 14, N 4. – P. 402.
  9. Swyer P.R., James G.C. A case of unilateral pulmonary emphysema // Thorax. – 1953. – Vol. 8, N 4. – P. 133–136.
  10. Tortajada M., Gracia M., Garcнa E. et al. Consideraciones diagnуsticas sobre el llamado sнndrome del pulmуn hiperclaro unilateral (sнndrome de Swyer-James o de Mc-Leod) // Allergol. Immunopathol. – 2004. – Vol. 32, Iss. 5. – P. 265–270

Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Functional fluorography (inhalation/exhalation). At the height of inhalation, the mediastinum is displaced to the right (arrow). On exhalation, the mediastinum returns to its normal position (arrow), hyperventilating right lung (oblique arrows)

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3. Fig. 2. MiniIP reconstruction. The right lung is reduced in volume. On the background of "hypertransparent" fields of the right lung (arrow), an area of intact parenchyma (double arrow) can be observed

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4. Fig. 3. Angiopulmonography. Depletion of the vascular bed of the right lung (arrows)

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5. Fig. 4. Angiopulmonography. Hypoplasia of the right pulmonary artery (D>S)

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Copyright (c) 2024 Makarevich A.M., Zaitsev A.A., Bekmurzov S.M., Shulga A.V., Yakovenko T.I.



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