EURORAD ESR

Case 13566

The postnatal differential diagnosis of four patients with antenatal diagnosis of congenital pulmonary airways malformation (CPAM)

Author(s)
Catalin V Ivan, Mandip Heir, Fiona Dickinson

Leicester Royal Infirmary, UK
Infirmary Square
Leicester
LE1 5WW
 
Patient
female, 1 year(s)
 
 
  • Figure 1
    Patient A - congenital hernia

    Multiple air-filled bowel loops occupying the left hemithorax.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Education; Special Focus: Hernia;
     
     
  • Figure 2
    Patient B - intralobar sequestration
     

    Wedge-shaped density present at left base medially behind the heart.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Education; Special Focus: Congenital;

    30mm x 14mm lesion with heterogeneous enhancement in the posterior basal segment of the left lower lobe. The lesion is supplied by a systemic artery arising from the distal descending thoracic aorta.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Congenital;

    30mm x 14mm lesion with heterogeneous enhancement in the posterior basal segment of the left lower lobe. The lesion is supplied by a systemic artery arising from the distal descending thoracic aorta.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Congenital;
     
     
  • Figure 3
    Patient C - Antenatal MRI: CPAM
     

    Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.

     
    Area of Interest: Foetal imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.

     
    Area of Interest: Foetal imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;

    Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.

     
    Area of Interest: Foetal imaging; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital;
     
     
  • Figure 4
    Patient C - Post-natal diagnosis: CPAM
     

    There is a large cystic mass in the right hemithorax displacing the mediastinum to the left consistent with the suspected CPAM.

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Education; Special Focus: Congenital;

    There is a large cystic mass in the right hemithorax displacing the mediastinum to the left consistent with the suspected CPAM.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Congenital;
     
     
  • Figure 5
    Patient D - Bronchial atresia
     

    Left hilar mass lesion

     
    Area of Interest: Thorax; Imaging Technique: Plain radiographic studies; Procedure: Education; Special Focus: Congenital;

    There is a left hilar mass lesion measuring 2.8 x 1.6 x 1.9 cm with a 1cm cystic component that represents a short segment of dilated bronchus.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Congenital;

    There is hypo-attenuation of the left upper lobe apical-posterior segments on inspiration and expiration in keeping with hyper-expansion and air trapping.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Education; Special Focus: Congenital;
     
     
Multiple air-filled bowel loops occupying the left hemithorax.
 
Wedge-shaped density present at left base medially behind the heart.
 
30mm x 14mm lesion with heterogeneous enhancement in the posterior basal segment of the left lower lobe. The lesion is supplied by a systemic artery arising from the distal descending thoracic aorta.
 
30mm x 14mm lesion with heterogeneous enhancement in the posterior basal segment of the left lower lobe. The lesion is supplied by a systemic artery arising from the distal descending thoracic aorta.
 
Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.
 
Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.
 
Foetal MRI: There is a large multi-cystic lesion occupying the right thoracic foetal cavity with cysts of varying dimensions. The largest cyst is situated posteriorly.
 
There is a large cystic mass in the right hemithorax displacing the mediastinum to the left consistent with the suspected CPAM.
 
There is a large cystic mass in the right hemithorax displacing the mediastinum to the left consistent with the suspected CPAM.
 
Left hilar mass lesion
 
There is a left hilar mass lesion measuring 2.8 x 1.6 x 1.9 cm with a 1cm cystic component that represents a short segment of dilated bronchus.
 
There is hypo-attenuation of the left upper lobe apical-posterior segments on inspiration and expiration in keeping with hyper-expansion and air trapping.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version