title: Clinical diagnostic approach to congenital agenesis of right lung with dextrocardia: a case report with review of literature.
abstract: OBJECTIVE
  Congenital lung agenesis is extremely rare. The aim of this article is to evaluate the clinical diagnostic approach to congenital lung agenesis with a case report.
  
  
  METHODS
  We described a 44-day-old male child with right pulmonary agenesis presented to us with severe respiratory distress. He was misdiagnosed as a case of foreign body bronchus at emergency room according chest X-ray. Right lung agenesis was confirmed by CT scan. Echocardiography showed dextrocardia, absence of right pulmonary artery and small atrial septal defect. Then we reviewed the related literature with Medline and Pubmed databases.
  
  
  CONCLUSIONS
  It is recommended that CT scan is the key diagnostic approach for lung agenesis and invasive diagnostic procedures and prophylactic surgery should not be done in asymptomatic cases.
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
authors.forename: Lijian
authors.initials: L
authors.lastname: Xie
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Department of Cardiology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China. she6nt@163.com.
authors.forename: Jie
authors.initials: J
authors.lastname: Shen
mesh_terms: D000015:Abnormalities, Multiple / Q000000981:diagnostic imaging*; D003914:Dextrocardia / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors; D019468:Disease Management; D004452:Echocardiography / Q000379:methods; D006801:Humans; D007223:Infant; D008168:Lung / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008171:Lung Diseases / Q000000981:diagnostic imaging*; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods
keywords: computed tomography (CT); foreign body bronchus; lung agenesis