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Clinical Pediatrics
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Swyer-James Syndrome—Unilateral Hyperlucent Lung Syndrome

A Case Report and Review

Terri L. Daniel

Departments of Diagnostic Radiology and Pediatrics, A.B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky

John H. Woodring

Departments of Diagnostic Radiology and Pediatrics, A.B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky

H. Mac Vandiviere

Departments of Diagnostic Radiology and Pediatrics, A.B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky

H. David Wilson

Departments of Diagnostic Radiology and Pediatrics, A.B. Chandler Medical Center, University of Kentucky, Lexington, Kentucky

Swyer-James syndrome is a pulmonary condition acquired following bronchiolitis obliterans early in life. Clinically characterized by repeated bouts of pulmonary infections, Swyer-James syndrome is characterized radiographically by a unilateral small, hyperlucent lung that demonstrates diminished arterial supply to the involved lung, air-trapping, and bronchiectasis. Radioimaging procedures may reveal otherwise unsuspected bilateral involvement. A 14-year-old Caucasian female with classic findings of Swyer-James syndrome is presented. The differential diagnosis of conditions that may present with a unilateral hyperlucent lung is discussed. Therapy is aimed primarily at control of the intercurrent episodes of bacterial pneumonia.

Clinical Pediatrics, Vol. 23, No. 7, 393-397 (1984)
DOI: 10.1177/000992288402300706
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