Thursday, December 20, 2012

1 in 2200

Prenatal ultrasound showed a "heterogenous mass" in the chest concerning for "cystic adenomatoid malformation." After delivery, this X-ray was obtained due to a barrel chest and scaphoid abdomen.

Challenge: What do you think of the prenatal ultrasound interpretation?

Image shown under Fair Use.


Craig Chen said...

1 in 2200

This is a congenital diaphragmatic hernia. The X-ray shows air-filled bowel loops in the left chest and mediastinal shift to the right. The neonate likely also has pulmonary hypoplasia. On prenatal ultrasound, bowel contents can be differentiated from cystic adenomatoid malformation if peristalsis is seen.

Source: UpToDate.

Alex said...

not ccam. cdh. tx supportive to ecmo.