INFANTILE LOBAR EMPHYSEMA

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Abstract
Recognition of infantile lobar emphysema as the cause of respiratory distress in infancy is primarily a problem of roentgen diagnosis. Roentgen examination of the chest reveals a distended lobe compressing adjacent lung and displacing the heart and mediastinum to the opposite side. Two cases of infantile lobar emphysema are reported in which the emphysematous lobe was fluid-filled, causing a hazy density in the involved area on the chest roentgenogram. The origin of the fluid is not determined, but aspiration of amniotic fluid is considered as a possibility. The roentgen diagnosis of infantile lobar emphysema should be based on signs of overdistention, not hyperlucency of the lobe.

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