Book contents
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Case 11 Lipoid pneumonia
- Case 12 Pleuropulmonary blastoma
- Case 13 Neuroendocrine cell hyperplasia of infancy (NEHI)
- Case 14 Endobronchial foreign body recognition
- Case 15 Chronic esophageal foreign body
- Case 16 Opsoclonus–myoclonus due to underlying ganglioneuroblastoma
- Case 17 Lymphoma: pulmonary manifestations
- Case 18 Acute and subacute pneumonia in childhood: tuberculosis
- Case 19 Thymus: normal variations
- Case 20 Airleak in the neonate
- Case 21 Bronchopulmonary malformation: hybrid lesions
- Case 22 Lymphatic abnormality in the pediatric chest
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Index
- References
Case 21 - Bronchopulmonary malformation: hybrid lesions
from Section 2 - Thoracic imaging
Published online by Cambridge University Press: 05 June 2014
- Frontmatter
- Contents
- List of contributors
- Preface
- Acknowledgment
- Section 1 Head and neck
- Section 2 Thoracic imaging
- Case 11 Lipoid pneumonia
- Case 12 Pleuropulmonary blastoma
- Case 13 Neuroendocrine cell hyperplasia of infancy (NEHI)
- Case 14 Endobronchial foreign body recognition
- Case 15 Chronic esophageal foreign body
- Case 16 Opsoclonus–myoclonus due to underlying ganglioneuroblastoma
- Case 17 Lymphoma: pulmonary manifestations
- Case 18 Acute and subacute pneumonia in childhood: tuberculosis
- Case 19 Thymus: normal variations
- Case 20 Airleak in the neonate
- Case 21 Bronchopulmonary malformation: hybrid lesions
- Case 22 Lymphatic abnormality in the pediatric chest
- Section 3 Cardiac imaging
- Section 4 Vascular and interventional
- Section 5 Gastrointestinal imaging
- Section 6 Urinary imaging
- Section 7 Endocrine - reproductive imaging
- Section 8 Fetal imaging
- Section 9 Musculoskeletal imaging
- Index
- References
Summary
Imaging description
A chest radiograph (Fig. 21.1a) was obtained on an asymptomatic newborn infant because of a history of a right lower lobe abnormality discovered in utero. The newborn chest radiograph showed only subtle increased markings at the right lung base (Fig. 21.1a). Prenatal imaging had included ultrasound (US) and MRI at 29 weeks (Fig. 21.1b). Both studies had shown a large somewhat heterogeneous complex lesion, mostly solid with some cystic components, occupying most of the right lung posteriorly and with some midline mass effect (Fig. 21.1b). There was also a linear low signal branching structure noted inferiorly suggesting a systemic vascular supply to the lesion from below the diaphragm (Fig. 21.1b). The findings were consistent with a bronchopulmonary malformation (BPM), with hybrid feature of pulmonary sequestration (systemic arterial supply) and cystic pulmonary airway malformation (CPAM) (cysts). Serial ultrasound studies demonstrated moderate progressive decrease in the size of the lesion in the third trimester of pregnancy.
- Type
- Chapter
- Information
- Pearls and Pitfalls in Pediatric ImagingVariants and Other Difficult Diagnoses, pp. 79 - 86Publisher: Cambridge University PressPrint publication year: 2014