Pulmonary sling

Friday, 18 Jan 2013 10:22:19 GMT

The patient was a 3-year-old girl with a long history of asthma, recurrent pneumonia, dysphagia, and bronchomalacia. She presented to the emergency department with an acute asthma exacerbation on top of her chronic barking cough. The patient had had multiple hospital admissions for asthma exacerbations, croup, and pneumonia, during which she underwent multiple imaging studies, including chest and neck x-rays, a computed tomography (CT) scan of the face as well as a barium swallow. Furthermore, tests for sweat chloride, CH50, immunoglobulin levels, and lymphocyte mitogen response were obtained and all were within the normal limits. During this admission, a chest radiograph (Figure 1) was ordered to rule out pneumonia.

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Pulmonary sling