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Unusual signal intensity of congenital pulmonary airway malformation on fetal magnetic resonance imaging

Pediatric Radiology volume 45, pages 763–766 (2015)Cite this article

Abstract

Congenital pulmonary airway malformation (CPAM) is classified into pathologically different types. These types are sometimes distinguishable by fetal lung MRI and are usually observed as higher-signal lesions on T2-weighted images than normal lung. We describe a case of unusual CPAM resembling neoplasms, with a lower signal than is found in normal lung. Histopathology showed a large number of mucogenic cells but found no evidence that could explain this feature on fetal MRI. An unusual low-signal mass associated with a pulmonary cyst in fetal lung on MRI may suggest an unusual type 1 CPAM.

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Acknowledgments

We thank Drs. Yasufumi Fuchimoto and Kaori Sato in the Department of Pediatric Surgery at the NCCHD for details of patients’ surgical treatment.

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Affiliations

  1. Department of Radiology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya, Tokyo, 157-8535, Japan

    Keiho Owada, Osamu Miyazaki & Shunsuke Nosaka

  2. Department of Pathology, National Center for Child Health and Development, Tokyo, Japan

    Kentaro Matsuoka

  3. Department of Perinatal Medicine and Maternal Care, National Center for Child Health and Development, Tokyo, Japan

    Haruhiko Sago

Authors
  1. Keiho Owada
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  2. Osamu Miyazaki
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  3. Kentaro Matsuoka
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  4. Haruhiko Sago
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  5. Shunsuke Nosaka
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Correspondence to Keiho Owada.

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Owada, K., Miyazaki, O., Matsuoka, K. et al. Unusual signal intensity of congenital pulmonary airway malformation on fetal magnetic resonance imaging. Pediatr Radiol 45, 763–766 (2015). https://doi.org/10.1007/s00247-015-3288-x

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  • DOI: https://doi.org/10.1007/s00247-015-3288-x

Keywords

  • Magnetic resonance imaging
  • Congenital pulmonary airway malformation
  • Mucin
  • Fetus