Newborn with respiratory distress

CXR and bronchogram of pulmonary agenesis
CXR AP and lateral (above) shows the right hemithorax, which is completely opacified, to be smaller in size than the left hemithorax and there is hyperexpansion of the left lung and mediastinal shift to the right. AP image from a vintage bronchogram (below) shows contrast filling the airways of the left upper lobe, lingula and left lower lobe. There is no contrast in the right hemithorax.

The diagnosis was pulmonary agenesis of the right lung.