Abstract
Prenatal diagnosis of congenital lung anomalies has increased in recent years as imaging methods have benefitted from technical improvements. The purpose of this pictorial essay is to illustrate typical imaging findings of a wide spectrum of congenital lung anomalies on prenatal US and MRI. Moreover, we propose an algorithm based on imaging findings to facilitate the differential diagnosis, and suggest a follow-up algorithm during pregnancy and in the immediate postnatal period.
Similar content being viewed by others
References
Berrocal T, Madrid C, Novo S et al (2004) Congenital anomalies of the tracheobronchial tree, lung and mediastinum: embryology, radiology and pathology. Radiographics 24:e17
Eber E (2007) Antenatal diagnosis of congenital thoracic malformations: early surgery, late surgery or no surgery. Semi Resp Crit Care Med 28:355–366
Vu L, Tsao TJ, Lee H et al (2007) Characteristics of congenital cystic adenomatois malformation associated with noninmune hydrops and outcome. J Pediatr Surg 42:1351–1356
Azizkhan RG, Crombleholme TM (2008) Congenital cystic lung disease: contemporary antenatal and postnatal management. Pediatr Surg Int 24:643–657
Curran PF, Jelin EB, Rand L et al (2010) Prenatal steroids for microcystic congenital cystic adenomatoid malformation. J Pediatr Surg 45:145–150
Stocker JT, Madewell JE, Drake RM (1977) Congenital cystic adenomatoid malformation of the lung. Classification and morphologic spectrum. Hum Pathol 8:155–171
Rosado-de-christenson ML, Stocker JT (1991) Congenital cystic adenomatoid malformation. Radiographics 11:865–886
Stocker JT (2009) Cystic lung disease in infants and children. Fetal Pediatr Pathol 28:155–184
Langston C (2003) New concepts in the pathology of congenital lung malformation. Semin Pediatr Surg 12:17–37
Büsing KAK, Schaible T, Neff KW (2006) Fetal MRI. Diagnostic in cases of congenital cystadenomatoid malformation of the lung. Radiologe 46:133–138
Williams HJ, Johnson KJ (2002) Imaging of congenital cystic lung lesions. Pediatr Resp Rev 3:120–127
Cannie M, Jani J, de Keyzer F et al (2008) Magnetic resonance imaging of the fetal lung: a pictorial essay. Eur Radiol 18:1364–1374
Daltro P, Werner H, Gasparetto TD et al (2010) Congenital chest malformations: a multimodality approach with emphasis on fetal MR Imaging. Radiographics 30:385–395
Crombleholme TM, Coleman B, Hedrick H et al (2002) Cystic adenomatoid malformation volume ratio predicts outcome in prenatally diagnosed cystic adenomatoid malformation of the lung. J Pediatr Surg 37:331–338
Epelman M, Kreiger PA, Servaes S et al (2010) Current imaging of prenatally diagnosed congenital lung lesions. Semin Ultrasound CT MRI 31:141–157
Langston C (2003) Intralobar sequestration revisisted. Pediatr Dev Pathol 6:283
Biyyam DR, Chapman T, Ferguson MR et al (2010) Congenital lung abnormalities: Embryologic features, prenatal diagnosis and postnatal radiologic-pathologic correlation. Radiographics 30:1721–1738
Kunisaki SM, Fauza DO, Nemes LP et al (2006) Bronchial atresia: the hidden pathology within a spectrum of prenatally diagnosed lung masses. J Pediatr Surg 41:61–65
Yu-Peng L, Chih-Ping C, Shin-Lin S et al (2010) Fetal cystic lung lesions: evaluation with magnetic resonance imaging. Pediatr Pulmonol 45:592–600
Riedlinger WF, Vargas SO, Jennings RW et al (2006) Bronchial atresia is common to extralobar sequestration, intralobar sequestration, congenital cystic adenomatoid malformation and lobar emphysema. Pediatr Dev Pathol 9:361–373
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Alamo, L., Gudinchet, F., Reinberg, O. et al. Prenatal diagnosis of congenital lung malformations. Pediatr Radiol 42, 273–283 (2012). https://doi.org/10.1007/s00247-011-2303-0
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-011-2303-0