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Pulmonary Sequestration

Imaging findings

Recurrent left lower lobe pneumonias are associated with a persistent consolidation and volume loss in the left lower lobe. No feeding vessel from the aorta is visible, suggesting a potential thrombosed sequestration or hybrid CPAM lesion.

Key takeaways

Recurrent pneumonia in the same lung segment in a young patient should prompt suspicion of a congenital lung abnormality, such as a pulmonary sequestration or hybrid CPAM. The feeding systemic artery may occasionally thrombose, making identification difficult on imaging.

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