The
follow-up was resumed at around 7 months and 15 days of age with the
persistence of the above complaints. He had several admissions at
another healthcare facility. He continued to grow poorly with a weight
of 5.1 kgs. and a length of 62 cms. On repeat X-ray chest evaluation,
hyperlucency of the right middle lobe and crowding of both the right
upper and lower lobe was noted. (Figure 2)
Figure 2 X-ray chest Postero-anterior (PA) view showing clear
hyperluceny of the right middle lobe with crowding of right upper and
lower lobe with mediastinal shift. Sternal wires from the previous heart
surgery can be made out.
CT scan confirmed the presence of Congenital Lobar Emphysema involving
the right middle lobe. (Figure 3,4)