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Virtual Pediatric Hospital: Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology: Case 17

Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology

Case 17

Michael P. D'Alessandro, M.D.,
Steven J. Fishman, M.D.,
Deborah E. Schofield, M.D.

Peer Review Status: Internally Peer Reviewed
Chief Complaint:
Four year old male with recurrent respiratory infections.

Clinical History:
The patient was a 4 year old male with recurrent upper respiratory tract infections and reactive airway disease.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Cystic adenomatoid malformation, congenital lobar emphysema

Imaging Findings:
Chest film from outside (not available) revealed a cystic lesion in right upper lobe.

Imaging Differential Diagnosis:
Cystic adenomatoid malformation.

Operative Findings:
A right posterolateral thoracotomy was performed. The right upper lobe contained multiple cystic lesions. The right middle and right lower lobes were normal. A right upper lobectomy was performed.

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Pathological Findings:
Examination of the surgical specimen revealed numerous variably sized cystic spaces lined by a combination of respiratory and mucus-secreting epithelium.

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Final Diagnosis:
Cystic Adenomatoid Malformation

Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.

Similar Cases:
Case 22

References:

Title Page


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