Challenging Cases in Paediatric Respiratory Medicine

1. A young girl with an incidentally discovered mass on a chest radiograph

Warot Chitanuntavitaya
Prakarn Tovichien

2.The boy who coughs when vomiting and vomits when coughing

Wee Liang Yi Justin
Ting Chun Yi Cheng Duo-Tong

3.A Neonate with Bleeding and Tracheobronchial Calcifications 

Suha Rizik
Lea Bentur
Noa Mandel Ronen Bar-Yoseph

4.A tale of two diagnoses

Ciaran O’Toole
Siobhán Carr

5.A Child with Interstitial Lung Disease and Hepatic Cirrhosis

Aslı İmran Yılmaz,
Betül Okur Altındaş,
Sevgi Pekcan,
Ayşe Gül Zamani,
Makbule Nihan Somuncu,
Gökçen Ünal,
Suat Savaş,
Fatih Ercan,
İsmail Reisli,
Sevgi Keleş,
Berna Oğuz

6.Where is this baby’s left lung?

Wee Liang Yi Justin, Cheng Duo-Tong, Ting Chun Yi

 7.Approaches to preventing infection and optimising airway clearance in a child with cerebral palsy

Dhandayuthapani R
Urquhart DS

8.Did God do it or did the Doctor do it? A diagnostic conundrum

Helena Teresinha Mocelin, Gilberto Bueno Fischer

9. A Rare Pediatric Case of Chronic Lung Disease and Immunodeficiency
To biopsy – or not to biopsy?

Moria Beer

10. A Boy with a Hydropneumothorax who did not get better

Adelaide Ngina Masu

11.Unexplained hypoxemia in a toddler: a diagnostic journey

B. Van der Mast, H. Schaballie, M. De Lausnay, P. Schelstraete, B. De Wilde, S. Lambrecht, J. Willekens

12.A teenager who coughed up blood

Tom TOIN, Laurianne COUTIER, Philippe REIX

13.The Role of Flexible Bronchoscopy in Localizing Lymphatic Leak

Kyndall Smith, Brooke Gustafson

14.Respiratory distress in an infant born to a mother with tuberculosis in Cape Town

James A Seddon,
H Simon Schaaf

15. BIG HEAD, STUBBORN LUNG: A QUIRKY CASE OF VENTRICULOMEGALY AND COLLAPSED LUNG

Priyanka Medhi

16. A case of Pulmonary Hypertension: a challenge in LMICs

Lachner Malavasi Ian
Soto-Martínez Manuel Enrique

17. A toddler with persistent productive cough and chest X-ray changes

Duo-Tong CHENG, Chun Yi TING, Justin Liang Yi WEE

18. An Infant with Intermittent Wheeze

Chun Yi TING, Duo-Tong CHENG, Justin Liang Yi WEE, Arun Kumar PUGALENTHI

19. PERSISTENT SEVERE WHEEZING IN A YOUNG CHILD FROM AN LMIC

Pierre Goussard and Ernst Eber

20. Recurrent Pneumonia and a Mediastinal Mass

Camelia Busila, Laura Iuliana Candussi, Carmen-Iulia Ciongradi, Casiana-Adelina    Popa

Biography

PROFESSOR ANDREW BUSH MD FHEA FRCP FRCPCH FERS FAPSR ATSF

Professor of Paediatrics and Paediatric Respirology, National Heart and Lung Institute, and Centre for Paediatrics and Child Health, Imperial College (Foundation Director); Consultant Paediatric Chest Physician, Royal Brompton Hospital

My research interests include the invasive and non-invasive measurement of airway inflammation in children, in particular the use of endobronchial biopsy in the management of severe asthma, and clinical physiology, especially respiratory mass spectrometry. I have supervised more than 50 MD and PhD degrees, co-authored more than 800 papers in peer review journals, and written nearly 150 chapters in books and monographs. I am Deputy Editor of the American Journal of Respiratory and Critical Care Medicine. I have served as Guidelines Director of the European Respiratory Society and chair of the Publications Committee. I am also an emeritus NIHR Senior Investigator. Major recent awards include the British Thoracic Society medal (2022, the first Paediatrician to be so honoured), the 2024 James Spence Medal and an Honorary Life Fellowship, the highest honour of the RCPCH, and the 2024 ERS Presidential award. Most importantly, I have the nine greatest grandchildren in the world, Dylan and Jack in South Africa, Oscar and his twin siblings Aya and Fletcher, Lydia and Dominic, and Ilyas and Amina, all in London.

Dr Thomas Semple MDres FRCR

Consultant Radiologist (Cardiorespiratory and Paediatric Imaging), Royal Brompton Hospital, London

Honorary Clinical Senior Lecturer, National Heart and Lung Institute and Centre for Paediatrics and Child Health, Imperial College London

I have previously claimed to be the most spoiled paediatric radiologist in the world and stand by that claim. I took up a consultant position at the Royal Brompton in 2018 having completed an MDres at Imperial College supervised by Jane Davies, Simon Padley and Claire Hogg, applying structural and functional respiratory MRI to children and adults with cystic fibrosis. Prior to this, I studied respiratory and cardiac imaging with Dr Cathy Owens and Dr Michael Rubens who I consider not just mentors, but highly valued friends and role models and have also had the honour of working alongside Prof Bush and the whole Royal Brompton Paediatric Respiratory team, as well as the wider London Paediatric Respiratory Group reviewing cases, not just from in and around London, but from around the whole world.

My research interests include the translation of subspecialty cardiorespiratory imaging techniques from adult practice into paediatrics; the development and optimisation of oxygen-enhanced MR imaging of respiratory physiology and radiation protection in paediatric CT. I have published peer reviewed original research and review papers covering the length and breadth of adult and paediatric respiratory and cardiac imaging practice, written chapters for multiple textbooks, lectured and taught on many courses around the world and sit on international taskforces for both respiratory and cardiac imaging. I am, however, most proud of my recent PhD students and the energy with which they strive to improve and advance practice in paediatric respiratory imaging as well as the increasingly international work of the Royal Brompton’s paediatric respiratory multidisciplinary team.