MACLEOD-SWYER-JAMES SYNDROME - UNILATERAL HYPERLUCENT LUNG SYNDROME

In a 2,5 year-old girl admitted because of persisting cough, physical examination revealed decreased breathing sounds over the entire left l ung. Chest x-ray showed a unilaterally hyperlucent left lung. Bronchos copy revealed no evidence of foreign body aspiration and bronchography demonstrated saccular dilatations and pruned tree images of the left bronchi. Angiocardiography showed normal anatomy of the pulmonary vess els but decreased perfusion of the left lung. These findings combined establish the diagnosis of Mc-Leod-Swyer-James-Syndroms a condition du e to post-infectious bronchiolitis obliterans.