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Radiology
Unique imaging observations in an incidentally detected bilateral upper lobe agenesis
  1. Girish Doddabasappa1,
  2. Gadabanahalli Karthik1,
  3. Anilkumar Sapare1 and
  4. Venkatraman Bhat2
  1. 1Radiology, Narayana Health, Bangalore, Karnataka, India
  2. 2Radiology, Narayana Hrudayalaya Health City Bangalore, Bengaluru, Karnataka, India
  1. Correspondence to Dr Venkatraman Bhat; bvenkatraman{at}gmail.com

Abstract

Bilateral upper lobe pulmonary agenesis is an uncommon congenital anomaly usually detected incidentally in adulthood. Plain radiographic findings are non-specific and subtle, and diagnosis is rarely suspected on conventional radiography despite available subtle clues. Chest CT, done for other indications, is capable of detecting this anomaly. Contrast-enhanced CT is the modality of choice to diagnose and show all features of pulmonary lobar agenesis. Knowledge of the wide spectrum of associated pulmonary anomalies is required in the management of patients with congenital heart disease.

  • Anatomic Variation
  • Respiratory system
  • Congenital disorders
  • Radiology

https://doi.org/10.1136/bcr-2024-262517

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: GD, AS. Responsible for clinical work-up, investigations and initial drafting: GD, AS. Responsible for concept, investigations, images and editing: GK. Responsible for the overall content as guarantor and for article structure, content verification, final drafting and correspondence: VB. The following author gave final approval of the manuscript: VB.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.