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American Journal of Roentgenology, Vol 131, Issue 2, 243-246
Copyright © 1978 by American Roentgen Ray Society

Articles

Ventilation-perfusion scans in neonatal regional pulmonary emphysema complicating ventilatory assistance

JC Leonidas, FM Moylan, PC Kahn, and ML Ramenofsky

Two cases of ventilator-related neonatal lobar overexpansion with similar radiographic appearance, but probably different pathogenesis, are presented. In one infant, persistent interstitial lobar emphysema was confirmed by markedly decreased perfusion shown on scintigraphy; this information was of great value in predicting the beneficial effect of lobectomy. In the other case, ventilation and perfusion scans indicated functional value of the emphysematous lobe and correctly suggested conservative management. Radioisotope lung scans may provide valuable information regarding lung function in regional pulmonary emphysema associated with assisted ventilation in neonatal respiratory distress syndrome, and thus determine patient management.
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Copyright © 1978 by the American Roentgen Ray Society.