interesting_case CPAM in a 5 month old infant?

[Mahmoud Kaddah]

A 5-month old boy with recurrent respiratory tract infections from birth until now with multiple admissions in the Hospital the chest X-ray density in the right upper lobe the boy has been observed for about 1-month and put on antibiotics and chest physiotherapy without showing any improvement in this density in the right upper lobe a flexible bronchoscopy was done about month ago and there was only a signs of a external compression on the right main bronchus vin a chest CT with contrast was done and the images are shown below I appreciate your opinions about this pathology on the right upper lobe

[Mahmoud Kaddah]

Ct pictures

[Marven]

Looks more solid than cystic. Other than that it’s hard to say. If no artery seen then sequestration is unlikely. But probably a type III CPAM