Correlapaedia - a Correlative Encyclopedia of Pediatric Imaging, Surgery, and Pathology
The patient was a 4 year old male with recurrent upper respiratory tract infections and reactive airway disease.
Clinical Physical Exam:
Clinical Differential Diagnosis:
Cystic adenomatoid malformation, congenital lobar emphysema
Chest film from outside (not available) revealed a cystic lesion in right upper lobe.
Imaging Differential Diagnosis:
Cystic adenomatoid malformation.
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.
Examination of the surgical specimen revealed numerous variably sized cystic spaces lined by a combination of respiratory and mucus-secreting epithelium.
Cystic Adenomatoid Malformation
Follow-up and Prognosis:
The patient had an uncomplicated post-operative course.
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