Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Kocaoğlu, Murat; Frush, Donald P.; Uğurel, Mehmet Şahin; Somuncu, İbrahim

doi:10.4261/1305-3825.dir.2063-08.2

Cited by 10 publications

(11 citation statements)

References 37 publications

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“…Only 20% of round pneumonias contain air bronchograms at initial presentation 2. Differential diagnosis includes rare infections (fungi and mycobacteria), tumours and congenital anomalies 3. In conclusion, symptoms of cough, fever and a round intrapulmonary mass on CXRay in a child most likely represent pneumonia.…”

Section: Descriptionmentioning

confidence: 97%

Single pulmonary round mass in a 12-year-old boy

Karabouta

Arampatzi²,

Athanassiadou-Piperopoulou³

2012

BMJ Case Reports

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Section: Descriptionmentioning

confidence: 97%

Single pulmonary round mass in a 12-year-old boy

Karabouta

Arampatzi²,

Athanassiadou-Piperopoulou³

2012

BMJ Case Reports

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“…However, it is extremely sensitive in detecting changes within the lung parenchyma [4,5], and in detecting congenital defects [6] as well.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic imaging Comparative analysis of imaging examinations of the thoracic cage in neonates. Defining indications for cat scanning

Sraga¹,

Głowacki²,

Kluczewska³

et al. 2013

kitp

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StreszczeniePodstawowym badaniem służącym do diagnozowania dzieci z różnego typu zaburzeniami oddychania jest zdjęcie radiologiczne klatki piersiowej. Mimo wciąż malejącej roli, jaką odgrywa radiologia klasyczna w diagnostyce obrazowej, zdjęcie RTG jest zasadniczo nadal jedyną dostępną metodą obrazowania patologii płucnych u noworodków. Natomiast w sytuacjach, gdy klasyczna metoda wydaje się niewystarczająca, należy rozważyć wykonanie tomografii komputerowej. W artykule opisano wybór grupy noworodków, u której wykonanie TK było wskazane. Przy wyborze należało uwzględnić wiele czynników. Najistotniejszym kryterium był stan ogólny noworodka oraz korzyść płynąca z badania, która musi przewyższać czynniki ryzyka i konsekwencje pochłonięcia dużej dawki promieniowania jonizującego. Celem pracy było określenie wskazań do wykonania tomografii komputerowej klatki piersiowej u dzieci w okresie noworodkowym na podstawie materiału pochodzą-cego z ośrodka, w którym pracują autorzy artykułu. Na podstawie przeprowadzonych badań wyciągnięto wnioski zawarte w pracy. Słowa kluczowe: noworodki, zdjęcie RTG klatki piersiowej, tomografia komputerowa klatki piersiowej.Kardiochirurgia i Torakochirurgia Polska 2013; 10 (3) 295 DIAGNOSTIC IMAGING AbstractAn X-ray of the thoracic cage is a fundamental examination in children with disorders of various origin. Despite the constantly decreasing role of classic radiology in imaging diagnostics, the X-ray photograph still remains the only method available in practice for imaging lung pathologies in neonates. The aim of the work is to define the indications for performing CAT scanning of the thoracic cage in children in the neonatal period on the basis of our own material. We analysed a group of neonates referred for thoracic cage CAT scanning. Out of 10 people examined, 8 were boys, and 2 were girls. Respiratory disorders or the presence of auscultatory phenomena were an indication for making an X-ray in neonates in whom a CAT scan of the thoracic cage was done. All neonates from the examined group had an X-ray only as a result of above-mentioned indications. On the basis of a classic X-ray photograph, it was not possible to differentiate the flaccidity of the diaphragm with diaphragmatic hernia; the suspicion of presence of patent emphysema ventricle also needed to be confirmed. In one neonate, X-ray gave the image of an enlarged cone of the heart, and in the subsequent one, the image of persistent atelectasis of the right lower lobe. On the basis of the centre's experience, we may draw the conclusions that the basic indication for performing CAT scan examination in neonates is the suspicion of anatomical irregularity mentioned in the paper.

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“…Previously known as CCAM (congenital cystic adenomatoid malformation), CPAM is now the favoured descriptive term, as the lesion can be either ‘solid’ or ‘cystic’ in appearance [28, 29]. There are four types of CPAM (Stocker classification): Type 1 involves macroscopic cysts greater than 2 cm, whilst type 2 presents with smaller cysts under 1 cm.…”

Section: Clinical Applicationsmentioning

confidence: 99%

“…9). Venous drainage is conventional in intra-lobar sequestration (whilst extra-lobar sequestration has an anomalous systemic venous drainage) [27, 29]. CT angiography with 3D reconstruction aids mapping of the anomalous vasculature and distinguishes between extra-lobar and intra-lobar sequestrations [31].…”

Section: Clinical Applicationsmentioning

confidence: 99%

Paediatric multi-detector row chest CT: what you really need to know

2012

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BackgroundThe emergence of multi-detector row CT (MDCT) has established and extended the role of CT especially in paediatric chest imaging. This has altered the way in which data is acquired and is perceived as the 'gold standard' in the detection of certain chest pathologies. The range of available post-processing tools provide alternative ways in which CT images can be manipulated for review and interpretation in order to enhance diagnostic accuracy.MethodologyPaediatric imaging technique/protocol together with radiation dose reduction is discussed in detail. The use of different post-processing tools to best demonstrate the wide range of important congenital anomalies and thoracic pathologies is outlined and presented pictorially.ConclusionMDCT with its isotropic resolution and fast imaging acquisition times reduces the need for invasive diagnostic investigations. However, users must be vigilant in their imaging techniques to minimise radiation burden, whilst maintaining good image quality.Main Messages• CT examinations should be clinically justified by the referring clinician and radiologist.• MDCT is invaluable for evaluating the central airway, mediastinal structures and lung parenchyma.• MDCT is more sensitive than plain radiographs in detection of structural changes within the lungs.

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Broncopulmonary foregut malformations presenting as mass lesions in children: spectrum of imaging findings

Cited by 10 publications

References 37 publications

Single pulmonary round mass in a 12-year-old boy

Single pulmonary round mass in a 12-year-old boy

Diagnostic imaging Comparative analysis of imaging examinations of the thoracic cage in neonates. Defining indications for cat scanning

Paediatric multi-detector row chest CT: what you really need to know

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