AI Article Synopsis

  • A primigravid woman at 22 weeks of gestation had a sonogram showing a hyperechogenic lesion in the right fetal lung, indicating a possible congenital pulmonary airway malformation (CPAM) with a lesion-to-lung ratio over 90%.
  • The microcystic pattern was somewhat evident in MRI scans, and a fetopsy later confirmed the diagnosis as a pure microcystic CPAM after the pregnancy termination.
  • The text suggests conducting a controlled study to compare the effectiveness of ultrasound versus MRI in diagnosing and monitoring fetal lung malformations.

Article Abstract

Sonographic scan revealed a homogenously hyperechogenic lesion in the right fetal lung with microcystic pattern by a primigravid women at 22nd weeks of gestation. A large congenital pulmonary airway malformation (CPAM) was suspected with a lesion-to-lung ratio over 90%. The microcystic image of this thoracic anomaly was moderately visible on magnetic resonance imaging (MRI) at that early stage of the pregnancy. Fetopsy confirmed the diagnosis as a pure microcystic CPAM following termination of pregnancy. A controlled prospective study could be performed to compare ultrasound as a diagnostic modality to the MRI, focusing on volumetry, signal characteristics, and follow-up/regression of fetal pulmonary malformations.

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http://dx.doi.org/10.3109/15513815.2012.671443DOI Listing

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