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Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease: Case 53 Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic Disease

Case 53

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


Chief Complaint:
Newborn male with a chest mass on prenatal ultrasound

Clinical History:
The patient was a newborn male. On a prenatal ultrasound performed at 7 months for polyhydramnios, a cystic chest lesion was noted in the right chest. At birth, the patient was asymptomatic.

Clinical Physical Exam:
Unremarkable

Clinical Labs:
Non-contributory

Clinical Differential Diagnosis:
Cystic adenomatoid malformation, congenital lobar emphysema, bronchogenic cyst.

Imaging Findings:
Chest films showed a heterogenous mass in the right chest. A chest CT exam showed the mass to be cystic in nature.

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Imaging Differential Diagnosis:
Cystic Adenomatoid Malformation, Type I

Operative Findings:
The lesion was removed electively, at one month of age.

Pathological Findings:
Pathological examination of the surgical specimen revealed findings characteristic for Cystic Adenomatoid Malformation, Type I.

Final Diagnosis:
Cystic Adenomatoid Malformation, Type I

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

Similar Cases:
Case 13, Case 19

References:

Title Page


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