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    Go to the top of the page   ID: 20081204115159 Original case in german  More links about this topic on Pubmed (PubMed Reader)
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    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Galea Janabel (Aberdeen Royal Infirmary/Aberdeen/Scotland), Samuel Stafrace (Royal Aberdeen Children`s Hospital/Aberdeen/Scotland), Karen Duncan (Royal Aberdeen Childrenss Hospital/Aberdeen/Scotland), Lena Crichton (Aberdeen Maternity Hospital/Aberdeen/Scotland)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    0 Preterm  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Thorax-Lung  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory: *

    22 week pregnant. Ultrasound shows possible abnormality involving both lung bases. MRI performed for further evaluation.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease : *

    CCAM are pulmonary lesions with abnormal proliferation of bronchiolar structures that connect to the bronchial tree. They may contain micro or macro cysts - when the later are identified, they are rather typical of the lesion.  

     
     Pediatric Radiology CasesRadiological findings: *


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Coronal image of the chest and abdomen showing hypoechoic areas in the region of the lower chest bilaterally in keeping with cysts.



    MRI 1 <- view MRI 1

    MRI 1: (Axial T2 weighted SSFSE) Shows a large high signal mass located within the lower right lung with cysts of various sizes within it with herniation of one of the cysts to the left behind the heart. Low signal flow voids represent vessels within the mass. The heart is shifted to the left and the contralateral lung is compressed by the mass.





    MRI 2 <- view MRI 2

    MRI 2: (Coronal T2 weighted SSFSE) Demonstrates the mass on the coronal plane. Note the small area of normal right lung at the apex and the compressed left lung. Both these are of slightly lower signal than the cystic mass on T2.





    MRI 3 <- view MRI 3

    MRI 3: (Coronal T1 weighted) Demonstrates the cyctic mass to be of low signal on T1. The higher signal just below the mass on this image represents the normal liver.




     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Total constellation (Consens)  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings: *

    Sequestration is also part of the same spectrum and lesions can be of mixed CCAM-sequestration pathology. Sequestrations have a systemic arterial blood supply.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other : *

    Variable prognosis - mainly dependant on size. May involute during pregnancy. The larger lesions result in mediastinal shift and pulmonary hypoplasia. These can result in vascular compromise, oesophageal compression, polyhydramnios and hydrops.  

     
     Pediatric Radiology CasesComments of the author about the case: *

    Good case showing macrocysts typically identified in CCAM  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Hubbard AM, Scott Adzick N, Crombleholme TM et al.
    Congenital Chest Lesions:Diagnosis and Charecterization with Prenatal MR Imaging.
    Radiology 1999;212:43-48.

    2. Medline: Medline
    3. Medline: Medline
    Levine D. Barnewolt CE, Mehta TS et al.
    Fetal Thoracic Abnormalities:MR Imaging.
    Radiology 2003;228:379.

    3. Medline: Medline
    Levine D.
    Atlas of Fetal MRI.
    Taylor and Francis Editors - 2005 pg 96-98.  

     
     Pediatric Radiology CasesKeywords: *

    CCAM, Congenital Cystic Adenomatoid Malfromation, Fetal MRI, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Thorax-Lung
    or in the region: Thorax
    or in the tissue/organ: Lung
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   

    Thanks to Martina Paetzel, M.D. for translating this case!

     
    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159


     

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    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Other cases by these authors:

    Search Galea Janabel in Medline Galea Janabel (1)   
    Search Samuel Stafrace in Medline Samuel Stafrace (3)   
    Search Karen Duncan in Medline Karen Duncan (1)   
    Search Lena Crichton in Medline Lena Crichton (1)   

    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI  
     
    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159


     
     
    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159


     

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    CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI
    Galea Janabel, Samuel Stafrace, Karen Duncan, Lena Crichton. CCAM (Congenital Cystic Adenomatoid Malformation) on fetal MRI. PedRad [serial online] vol 8, no. 12.
    URL: www.PedRad.info/?search=20081204115159


     




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