Abstract:
In pediatric ages it often happens that congenital anatomical abnormalities, or a certain condition of the child debut with parenchymal pulmonary changes as a result of external compressions of the pulmonary airway. When children present to the pediatric hospital with recurrent respiratory tract infections, and/or another pulmonary emergens there is always a need to exclude concomitant pathologies, in this presentation we will reflect cases of patients who presented in our service with pulmonary changes diagnosed with accompanying anomalies or complications of concomitant diseases.
The first case, a 5-year-old girl suffering from recurrent pulmonary infections who was diagnosed with esophageal duplication.
The second case presents a 10-year-old boy with modest inflammatory changes of the lungs and prolonged cough, which was diagnosed with aberration of the right pulmonary artery.
The third case is an 11-year-old boy who presents to the pediatric hospital with media lobby syndrome, the child is known from our hospital for treatment with hormone therapy for hypogonadism, theconsequence of each may be the enlargement of the thymus and the extra compression it can cause.
The fourth case presents a 1-year-old child who had multiple respiratory infections and who was diagnosed with aberrant subclavian artery.
In all cases patients underwent imaging procedures starting from conventional radiology and continuing with angio Ct and MRI for a more acurate diagnosis.
The fifth case is a 10-year-old boy who was followed by the pediatrician in his district for shortness of breath, then developed a pneumothorax and was sent to our hospital, there we performed a CT scan where a subocclusive tracheal mass was detected, which after undergoing a difficult intervention was confirmed by pathological anatomy with the diagnosis of tracheal carcinoid tumor, etc.
In all the cases examined above, the imaging diagnosis with Ct/Angio Ct and either MRI or Chest XR and Lung ultrasound, have been decisive to make the final diagnosis.
