Echogenic fetal lung lesion: sequestration vs CPAM type III

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Routine antenatal ultrasound at 19 weeks of gestation.

Patient Data

Age: 28 years
Gender: Female

Ultrasound shows presence of a well defined wedge shaped echogenic lesion in right lower lung.

Case Discussion

Main differentials of echogenic fetal pulmonary masses include pulmonary sequestration and cystic pulmonary airway malformation (CPAM) type III.

These may be differentiated on the basis of presence a separate feeding vessel usually arising from aorta in cases of sequestration.

Type III cystic pulmonary airway malformation consists of small cysts less than 0.5 cm and appears grossly solid on ultrasound. Usually there is no systemic feeding vessel, however, CPAM may occur in concert with sequestration (i.e. a hybrid lesion1.

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Case information

rID: 34881
Case created: 12th Mar 2015
Last edited: 31st Dec 2015
Systems: Obstetrics, Chest
Inclusion in quiz mode: Included

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