How is congenital lobar emphysema diagnosed?
Matthew Wilson
Updated on February 28, 2026
Computed tomography (CT) of lungs is the gold standard for the diagnosis of congenital lobar emphysema. It helps in the evaluation of the affected lobe as well as surrounding structures. CT-scan of the chest with IV contrast can help evaluate the vascular anomalies related to CLE.
What is congenital lobar emphysema?
Congenital lobar emphysema (CLE), also called congenital lobar overinflation (CLO), is a rare anomaly of fetal lung development in which an obstruction of the airways leads to an enlarged, overinflated lobe or lobes of the lung.
What causes lobar emphysema?
Congenital lobar emphysema may result from unknown causes or it may be inherited. Many cases are sporadic, (unknown causes) but others are transmitted by autosomal dominant genes.
What is the cause of CLE?
The most frequently identified cause of CLE is obstruction of the developing airway, which occurs in 25 percent of cases [1]. Airway obstruction can be intrinsic or extrinsic, with the former being more common.
Is congenital lobar emphysema a surgical disease?
Background: The management of congenital lobar emphysema has traditionally been surgical. Because of increased use of imaging, this lesion is frequently found in asymptomatic and mildly symptomatic children, prompting us to adopt a more conservative approach to these children.
Is emphysema common in children?
Emphysema occurs when there is damage to the alveoli (air sacs in the lungs). Typically a characteristic of adults with a history of smoking, this lung condition causes severe shortness of breath. In very rare cases, children can develop emphysema due to an abnormality that is present when they are born.
Can a child be born with emphysema?
What are the types of emphysema?
There are three types of emphysema; centriacinar, panacinar, paraseptal. See image 1. Centriacinar emphysema affects the alveoli and airways in the central acinus, destroying the alveoli in the walls of the respiratory bronchioles and alveolar ducts .
Are you born with emphysema?
Can a child get emphysema?
Does emphysema show up on xray?
A chest X-ray can help support a diagnosis of advanced emphysema and rule out other causes of shortness of breath. But the chest X-ray can also show normal findings if you have emphysema.
What is lobar emphysema?
Emphysema, congenital lobar: A rare respiratory disorder where air can readily enter the lungs but has difficulty escaping. The severity of the condition is variable. More detailed information about the symptoms, causes, and treatments of Emphysema, congenital lobar is available below.
What exactly is mild emphysematous changes?
Mild emphysematous changes mean that you have developed damage to your lungs from smoking . Tobacco smoke causes damage to the small air sacs in the lungs by destroying the walls of these tiny air spaces. When the air spaces are destroyed and become bigger, the term used to describe the change is emphysema.
Are lung blebs congenital?
Congenital cystic lung closely resembles Emphysematous blebs are air-filled blisters covered by the visceral pleura. They are not usually associated with vesicular emphysema. They are produced by the rupture of alveoli into the subpleural plane.
What is congenital emphysema?
Congenital lobar emphysema (CLE), also known as congenital alveolar overdistension, is a developmental anomaly of the lower respiratory tract that is characterized by hyperinflation of one or more of the pulmonary lobes [ 1,2 ]. Other terms for CLE include congenital lobar overinflation and infantile lobar emphysema [ 3-5 ].