Abstract
A 24-year-old white female was found on preoperative chest X-ray to have an air-fluid level. Computerized tomography confirmed the large bullous lesion with a central air-fluid level. Congenital lobar emphysema (CLE) is characterized by severe overinflation of the lobar area, which is thought to primarily occur by a check-valve mechanism. Traditionally, lobectomy has been advocated for all cases of CLE. However, by use of ventilation/perfusion scintigraphy patients may be managed nonsurgically while maintaining understanding of regional anatomy and function.
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