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Congenital Cystic Adenomatoid Malformation of the Lung

Long JRL - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Congenital Cystic Adenomatoid Malformation of the Lung

History: 26 year-old female pregnant with with a 32 week fetus for routine fetal ultrasound.

Findings: Ultrasound images of the gravid uterus (32 weeks gestational age) demonstrate a large cystic mass within the right hemithorax without significant Doppler flow and minimal leftward mediastinal shift. Fetal MR images (single shot fast spin echo T2 sequences) in multiple planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within. The lesion has some mass effect on both the right middle and upper lobes. There is minimal leftward mediastinal shift. No feeding vessels were identified. No other fetal abnormalities were present.

Ddx: • Congenital cystic adenomatoid malformation (type 1) • Pulmonary sequestration • Bronchogenic cyst

Dxhow: Fetal MRI

No MeSH data available.


Fetal MR images (single shot fast spin echo T2 sequences) in sagital, coronal and axial planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within.  The lesion has some mass effect on both the right middle and upper lobes.  There is minimal leftward mediastinal shift. No feeding vessels were identified.  No other fetal abnormalities were present.
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MPX1681_synpic37685: Fetal MR images (single shot fast spin echo T2 sequences) in sagital, coronal and axial planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within. The lesion has some mass effect on both the right middle and upper lobes. There is minimal leftward mediastinal shift. No feeding vessels were identified. No other fetal abnormalities were present.


Congenital Cystic Adenomatoid Malformation of the Lung

Long JRL - MedPix (2007)

Fetal MR images (single shot fast spin echo T2 sequences) in sagital, coronal and axial planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within.  The lesion has some mass effect on both the right middle and upper lobes.  There is minimal leftward mediastinal shift. No feeding vessels were identified.  No other fetal abnormalities were present.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1681&req=5

MPX1681_synpic37685: Fetal MR images (single shot fast spin echo T2 sequences) in sagital, coronal and axial planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within. The lesion has some mass effect on both the right middle and upper lobes. There is minimal leftward mediastinal shift. No feeding vessels were identified. No other fetal abnormalities were present.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Congenital Cystic Adenomatoid Malformation of the Lung

History: 26 year-old female pregnant with with a 32 week fetus for routine fetal ultrasound.

Findings: Ultrasound images of the gravid uterus (32 weeks gestational age) demonstrate a large cystic mass within the right hemithorax without significant Doppler flow and minimal leftward mediastinal shift. Fetal MR images (single shot fast spin echo T2 sequences) in multiple planes demonstrate a mass replacing the right lower lobe with multiple distinct cystic lesions of varying sizes within. The lesion has some mass effect on both the right middle and upper lobes. There is minimal leftward mediastinal shift. No feeding vessels were identified. No other fetal abnormalities were present.

Ddx: • Congenital cystic adenomatoid malformation (type 1) • Pulmonary sequestration • Bronchogenic cyst

Dxhow: Fetal MRI

No MeSH data available.