A 50-year-old man presented with a 3-year history of dyspnea on exertion and recurrent pulmonary infections. He had a history of exanthematous fever in childhood. Physical exam revealed rhonchi in both lung fields. Chest X-ray showed a hyperlucent right lung with pulmonary oligemia and a small hilum. HRCT revealed air trapping and bronchiectatic changes. CT pulmonary angiography showed decreased size of the right pulmonary vessels with no evidence of thromboembolism. Spirometry showed obstructive airway disease with reversibility. Bronchoscopy showed a normal tracheobronchial pattern. Based on these findings, the patient was diagnosed with adult Swyer James Mac

1. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)
e-ISSN: 2279-0853, p-ISSN: 2279-0861.Volume 14, Issue 12 Ver. II (Dec. 2015), PP 13-15
www.iosrjournals.org
DOI: 10.9790/0853-141221315 www.iosrjournals.org 13 | Page
Adult Diagnosis of Swyer James Mcleod Syndrome
Dr. Ajoy Samuel Mammen, MBBS , DTCD , DNB trainee , Dr.M. Deepaselvi , MD(Chest), DCH ,
Dr.Jesin Elsa Jose,MBBS,M.MED(Family Medicine,CMC Vellore)
A 50 year old gentleman from chennai got admitted with complaints of three year history of dyspnoea
on exertion with recurrent pulmonary infections. Patient had history of exanthematous fever in childhood
period. He was a non smoker and no family history of asthma. Physical examination revealed rhonchi, heard
over both lung fields.
Chest skia gram showed hyper lucent right lung with pulmonary oligemia and small hilum.HRCT
revealed air trapping and bronchiectactic changes.CT pulmonary angiography showed decrease in size of the
right pulmonary vessels and no evidence of any thromboembolism. Spirometry showed obstructive airway
disease of moderate severity with significant reversibility.Fibre optic bronchoscopy showed normal tracheo-
bronchial pattern
Based on the above findings, diagnosis of adult swyer james mcleod syndrome was made.
Chest Skiagram:
Hyperlucent Right Lung With Pulmonary Oligemia.

2. Adult Diagnosis of Swyer James Mcleod Syndrome
DOI: 10.9790/0853-141221315 www.iosrjournals.org 14 | Page
Hrct Chest
Hrct Chest Relieved Air Trapping And Bronchiectic Changes.
Contrast Ct Showing Narrowing Of Right Pulmonary Artery
Ct Pulmonary Angiography Showed Decrease In The Size Of Right Pulmonary Vessels And No Evidence
Of Thromboembolism.

3. Adult Diagnosis of Swyer James Mcleod Syndrome
DOI: 10.9790/0853-141221315 www.iosrjournals.org 15 | Page