Age/Sex: 46/F Chief complaints: persisted dyspnea for last four months Diagnosis: Swyer-James syndrome Brief discussion: S...
Age/Sex: 46/F
Chief complaints: persisted dyspnea for last four months
Diagnosis: Swyer-James syndrome
Brief discussion:
Swyer-James syndrome (also called unilateral hyperlucent lung) is named following the roentgenographical manifestation. However, the disease process is not confined to only one lung. It may occur in various anatomic distributions, including various lobar distributions. Most cases of this disease are caused by bronchial and bronchiolar infection, probably viral origin during childhood.
The main radiological findings are a remarkable difference in the radiolucency of the two lungs by decreased perfusion, attenuation of the pulmonary vessels, diminutive but present ipsilateral hilum, normal or reduced volume of the affected lung (The younger the patient at the time of the viral infection, the smaller the fully developed lung.), air trapping during expiration, and irregular dilatation of the segmental bronchi with abrupt ending in squared or tapered termination.
The radiological differential diagnosis of unilateral hyperlucent lung includes a partial obstructive lesion in the main bronchus, chronic thromboembolic disease, congenital hypoplastic pulmonary artery, etc.
