case_images: PMC6398055_01
case_images: Chest X-ray of a 13-month-old male child showing bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side.
case_images: CRIID2019-8912136.001.jpg
case_images: PMC6398055_01_CRIID2019-8912136.001.jpg
case_images: fig1
case_images: A chest X-ray showed bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side (Figure 1).
case_images: CTVB showing signs of pneumonia and indications of a bronchial foreign body (indicated by arrow).
case_images: CRIID2019-8912136.002.jpg
case_images: PMC6398055_01_CRIID2019-8912136.002.jpg
case_images: fig2
case_images: The CTVB also showed signs of pneumonia and indications of a bronchial foreign body (Figure 2).
case_images: Chest X-ray showing continued presence of bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side.
case_images: CRIID2019-8912136.003.jpg
case_images: PMC6398055_01_CRIID2019-8912136.003.jpg
case_images: fig3
case_images: The chest X-ray showed that bronchopneumonia, mediastinum right shift, and emphysema on the left-hand side were still present (Figure 3).
case_images: Bronchoscopy showing airway dysplasia: O-type tracheal cartilage (a) and stenosis in the left bronchus (b).
case_images: CRIID2019-8912136.004.jpg
case_images: PMC6398055_01_CRIID2019-8912136.004.jpg
case_images: fig4
case_images: We treated the bronchopneumonia and made an appointment for flex electronic bronchoscopy, which revealed airway dysplasia, O-shaped tracheal cartilage, and stenosis of the left bronchus (Figure 4).
case_images: Echocardiograms showing PAS.
case_images: CRIID2019-8912136.005.jpg
case_images: PMC6398055_01_CRIID2019-8912136.005.jpg
case_images: fig5
case_images: In order to differentiate between potential congenital, inflammatory, or vascular compression-related etiologies of the stenosis, an echocardiogram was undertaken revealing a PAS (Figure 5).
case_images: CT angiography (a) and 3D reconstruction (b) showing the anomalous origin of the left pulmonary artery (LPA) from the posterior aspect of the right pulmonary artery (RPA).
case_images: CRIID2019-8912136.006.jpg
case_images: PMC6398055_01_CRIID2019-8912136.006.jpg
case_images: fig6
case_images: A further cardiac computed tomography (CT) angiography confirmed the diagnosis (Figure 6).