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

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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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作者简介

A. Makarevich

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

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

俄罗斯联邦, Khabarovsk

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)»

编辑信件的主要联系方式.
Email: gvkg@mil.ru

заслуженный врач РФ, профессор, полковник медицинской службы 

俄罗斯联邦, Moscow; Moscow

S. Bekmurzov

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

полковник медицинской службы

俄罗斯联邦, Khabarovsk

A. Shulga

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru

майор медицинской службы

俄罗斯联邦, Khabarovsk

T. Yakovenko

301st Military Clinical Hospital of the Russian Defense Ministry

Email: gvkg@mil.ru
俄罗斯联邦, Khabarovsk

参考

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  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.
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  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

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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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版权所有 © Makarevich A.M., Zaitsev A.A., Bekmurzov S.M., Shulga A.V., Yakovenko T.I., 2024



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