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An unusual cause of shortness of breath in a young boy
  1. Tianyou Yang,
  2. Jiliang Yang,
  3. Jiahao Li,
  4. Jing Pan,
  5. Yan Zou
  1. Department of Pediatric surgery, Guangzhou Women and Children's Medical Center, Affiliated Women and Children's Medical Center of Guangzhou Medical University, Guangzhou, China
  1. Correspondence to Dr Yan Zou, Department of Pediatric surgery, Guangzhou Women and Children's Medical Center, Affiliated Women and Children's Medical Center of Guangzhou Medical University, No: 9 Jinsui Road, Tianhe District, Guangzhou 510623, China; monknut{at}126.com, doctor_john82{at}163.com

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A 17-month-old boy presented with shortness of breath of 3 days' duration. Physical examination showed a respiratory rate of 38/min and no breath sounds over the left hemithorax. Chest radiography showed a large air-filled structure in the left hemithorax, mimicking encapsulated pneumothorax (figure 1). CT identified a large structure containing air and fluid occupying the entire left hemithorax (figure 2).

Figure 1

Chest radiography revealed a large gas-filled structure in the left hemithorax, nearly complete collapse of the left lung (the apex of the left lung, arrowhead), rightward …

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