Swyer-James Syndrome:
The patient is an active duty ranger who was having difficulty keeping up during runs.
The CXR demonstrates hyperlucency to the right hemithorax in comparison to the left side.
A CT scan reveals a decreased number and caliber of vessels within the right lung. The right lung is also more hyperlucent when compared to the left side. (Click on image to see larger view)
An expiratory image from the patients CT scan demonstrates the characteristic air-trapping seen in this disorder. No endobronchial lesions were identified. (Click on image to see larger view)
