Preschooler with progressive respiratory distress

Surgical image of congenital lobar emphysema
Surgical image taken just after opening the right chest shows a very large and emphysematous right upper lobe which was allowed to herniate out through the incision, thus decompressing the other intrathoracic structures. The patient’s respiratory status improved immediately. The tip of the normal right middle lobe can be seen under the over inflated right upper lobe.

The diagnosis was congenital lobar emphysema.