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Intralobar sequestration is a rare cause of recurrent bronchitis, pneumonia, or hemoptysis that is often misdiagnosed both because of a lack of recognition of radiologic findings and a low expectation of the disease, particularly in middle-aged and elderly adults. Definitive therapy is surgical, and preoperative delineation of anatomy is essential. We present 2 cases from our institution that were atypical in presentation and used different radiographic imaging modalities. A review of the literature pertaining to presentations in older adults and radiographic delineation of these lesions follows.

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