Learning objectives
Discuss common and uncommon disorders on congenital lung lesions
Learn current imaging techniques for evaluating these pathologies
Describe and review main fetal imaging findings of congenital lung lesions
Background
SUMMARY
Congenital lung malformations are rare.
Constitute a heterogeneous group of affections that may involve the lung parenchyma,
bronchi,
and vasculature,
appearing in an isolated or combined form.
They can be detected prenatally,
in infancyor later in childhood,
or even in adult life.
With recentadvances in prenatal imaging evaluation,
detection of asymptomatic congenital lung malformations has been increasing in frequency.
It can range from small and asymptomatic entities to large space-occupying masses that require immediate surgical treatment.
ETIOLOGY
It has been suggested that many of...
Findings and procedure details
PRENATAL DIAGNOSIS
Congenital pulmonary malformations are increasingly detected with the prenatal ultrasound (US) because of itsroutine use in prenatal care.
Advances in fetal MRI in recent years also played a role in detecting and understandingthese malformations in utero.
Understanding these fetal chest masses is essential for appropriate monitoring during pregnancy,
treatment recommendations,
and management.
Fetal chest abnormalities are evaluated with US,
but MRI is an important adjunct technique for the assessment of these affections,
as it can provide excellent tissue contrast witha moreaccurate analysis of...
Conclusion
Congenital lung malformations are usually detected during pregnancy with ultrasound,
but Magnetic Resonance Imaging is an important adjunct technique that can be helpful in providing a detailed assessment of the thorax,
allowing early prenatal treatment,
prenatal interventions and delivery planning.
Personal information
Contact details:
Dr.
Elazir B.M.Di Puglia:
Resident in training.Department of Paediatric Radiology,CDPI/DASA,
Brazil 2019.
Email:
[email protected]
References
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Schoubroeck DV,
Witters I,
et al.
The value of fast MR imaging as an adjunct to ultrasound in prenatal diagnosis.
Eur Radiol.
2003 Jul;13(7):1538-48.
2.Bush A.
Prenatal presentation and postnatal management of congenital thoracic malformations.
Early Hum Dev.
2009;85(11):679-84.
3.Daltro P,
Fricke BL,
Kuroki I,
Domingues R,
Donnelly LF.
CT of congenital lung lesions in pediatric patients.
AJR Am J Roentgenol 2004;183(5): 1497-506.
4.Daltro P,
Werner H,
Gasparetto TD,
et al.
Congenital chest malformations: a multimodality approach with emphasis...