[Pediatric] Atlas of Congenital pulmonary malformations

CLINICAL ATLAS, PEDIATRIC ATLAS, Congenital pulmonary malformations at child, Atlas of Congenital pulmonary malformations, tuyenlab.net, atlas in medical

Fig 1.  Congenital absence of the right pulmonary vein: Axial
cut of chest CT scan with contrast showing classicalfindings of ground
glass changes, interlobular and interstitial septal thickening of the right
lung as compared to the normal left lung.

Fig 2.  Aberrant right tracheal bronchus arising from the trachea proximal to its bifurcation, and supplying the right upper lobe, on coronal view chest CT scan. The carina, both right and left mainstem bronchi and their bronchial divisions are normal.

Fig 3.  Cystic homogenous infratracheal lesion on chest CT
without contrast, axial cut.

Fig 4.  MRI chest with gadolinium demonstrating uniform uid
density cystic lesion inferior to left mainstem bronchus.

Fig 5.  Plain chest x-ray demonstrating asymmetry in lung aeration (arrows),
emphysematous right upper lobe, with herniation across
the midline and compression of right lower lobe.

Fig 6.  Chest CT scan showing emphysematous, hyperlucent
right upper lobe with herniation across the midline. The bronchial
anatomy and vascular supply to the lung is normal.

Fig 7.  Histopathologic section with diagnostic ndings of
emphysematous change, overin ation of alveoli with destruction and
paucity of interalveolar septae.

Fig 8.  CT axial view showing cystic lucencies in the right lower
lobe of the lung diagnostic of congenital cystic adenomatoid malformation (CCAM).

Fig 9.  Chest radiograph in a newborn with congenital cystic
adenomatoid malformation (CCAM) shows large cystic areas in the right
lower lobe with some mass effect and depression of the hemidiaphragm.

Fig 10.  Plain CXR of a newborn showing cystic lesions with
soap bubble appearance in right lung (arrows), with poorly de ned
margins. This is another example of congenital cystic adenomatoid
malformation.

Fig 11.   Congenital pulmonary airway malformation Type 1.
Chest CT showing multiple cysts of varying sizes replacing the right
lower lobe. The dominant ones measure 2 cm and are surrounded
by multiple smaller cysts.

Fig 12.  Axial cut chest CT showing single large cystic lesion with
well-defined wall in right lung consistent with congenital cystic adenomatoid malformation.

Fig 13.  Plain CXR showing cystic lesion in the right lower lobe,
with well circumscribed wall and central lucency with airfiuid level.

Fig 14. CT scan axial cut of the same lesion in Figure 13 showing cystic nature of intralobar sequestration contained within the right
lower lobe of the lung.

Fig 15.  Histopathological section of intrapulmonary sequestered lobe- demonstrating well circumscribed lesion, dilated bronchi with moderate mononuclear cell in filtrate in the bronchial wall, dilated alveoli, a few of which contain foamy histiocytes as well as hemosiderophages within the lumen. The blood vessels have thick muscular walls and there is moderate interstitial fibrosis.

Fig 16.  Coronal Chest CT scan post contrast images in the
arterial phase demonstrate an aberrant artery arising from the abdominal
aorta and supplying the sequestered lung in the right lower lobe; the
venous drainage is into the pulmonary veins: intralobar sequestration.

Fig 17.  Axial cut of chest CT of right pulmonary agenesis with
classical findings of no de nable lung tissue, pulmonary artery or main
bronchus on the affected side. There is ipsilateral shift of the heart and
mediastinum.

Fig 18.  Chest CT scan coronal view showing complete
absence of right lung, including right main bronchus and right pulmonary
artery with opacification of the affected hemithorax.

This is only a part of the book : Color Atlas of Pediatrics 1st Edition of authors: Richard P. Usatine, MD; Camille Sabella, MD; Mindy Ann Smith, MD; E.J. Mayeaux, Jr., MD; Heidi S. Chumley, MD and Elumalai Appachi, MD, MRCP (UK). If you want to view the full content of the book and support author. Please buy it here: https://goo.gl/BEp0yD