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Sedated Ct Scan Of 2 Yr Old Showed "dependent Subsegmental

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Posted on Fri, 13 Dec 2019
Question: Sedated Ct scan of 2 yr old showed "dependent subsegmental atelectasis bilaterally, right greater than left. Lungs otherwise clear".
Patient has history of laryngomalcia, dysphagia, laryngeal cleft, and has been struggling with becoming very winded with activity, eating and drinking. How would you interpret Ct scan? What other things could be causing the winded/ breathlessness?

Other medical history includes hyptonia, laryngospasms, GERD, cyanosis, anomaly of the arytenoid cartilage, aspiration, sterter, tracheamalacia and stridor.
doctor
Answered by Dr. Diptanshu Das (46 minutes later)
Brief Answer:
Obstructions in some regions

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone through your query and understand your concern. I have checked the CT Chest findings. The respiratory airways branch from larger to smaller ones. It seems that the medium sized airways supplying the respective segments have been obstructed due to some reason (either with mucus or infective material) resulting in collapse (atelectasis) of the corresponding segment. The unobstructed pathways and segments are functioning properly and are clear.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
doctor
Answered by Dr. Diptanshu Das (2 days later)
Brief Answer:
No, it could not

Detailed Answer:
Welcome back,

No, it could not.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Diptanshu Das (21 minutes later)
could the sedation cause atelectasis?
Answered by
Dr.
Dr. Diptanshu Das

Pediatrician

Practicing since :2005

Answered : 3875 Questions

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Sedated Ct Scan Of 2 Yr Old Showed "dependent Subsegmental

Brief Answer: Obstructions in some regions Detailed Answer: Thanks for using the Ask a Doctor service. I have gone through your query and understand your concern. I have checked the CT Chest findings. The respiratory airways branch from larger to smaller ones. It seems that the medium sized airways supplying the respective segments have been obstructed due to some reason (either with mucus or infective material) resulting in collapse (atelectasis) of the corresponding segment. The unobstructed pathways and segments are functioning properly and are clear. Regards