Pulmonary Perfusion Imaging in Congenital Lobar Emphysema-Reply
Abstract
Abstract In Reply.—We share Dr Leonard's opinion that the activity seen within both kidneys (Fig 2) could suggest either a right-to-left cardiac shunt or deficiencies in the preparation of the lung-imaging agent. Before submitting the manuscript, we carefully examined the patient for possible congenital heart disease, that condition having been reported to be associated with congenital lobar emphysema.1 We found no clinical evidence of heart involvement; however, definitive heart...