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Left Pulmonary Isomerism

Imaging findings

Chest CT and coronal reformats show two morphologic left lungs with hyparterial bronchus-pulmonary artery relationships bilaterally, an accessory bronchus supplying the right apex, and absence of the horizontal fissure.

Key takeaways

Left pulmonary isomerism (bilateral left lungs) is a congenital anomaly characterized by hyparterial bronchi on both sides and two-lobed lungs. It can be associated with accessory airway branching patterns.

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