Abstract
Congenital lung malformations (CLM) comprise a broad spectrum of maldevelopment that spans a continuum of maldevelopment involving parenchyma, bronchi, and vasculature. They may present as respiratory symptoms at birth and can be the source of morbidity and mortality. Early diagnosis is important for adequate therapy to prevent complications, such as recurrent infections, or to help normal lung development. Prenatal diagnosis of CLM using ultrasound (US) and magnetic resonance imaging (MRI) has increased, but chest radiography and computed tomography (CT) still play important roles in making diagnosis. This article reviews the clinical and radiographic features of various CLM.
Similar content being viewed by others
References
Panicek DM, Heitzman ER, Randall PA, et al. The continuum of pulmonary developmental anomalies. Radiographics. 1987;7:747–72.
Zylak CJ, Eyler WR, Spizarny DL, Stone CH. Developmental lung anomalies in the adult: radiologic–pathologic correlation. Radiographics 2002;22 Spec No:S25–43.
Lee EY, Boiselle PM, Cleveland RH. Multidetector CT evaluation of congenital lung anomalies. Radiology. 2008;247:632–48.
Ghaye B, Szapiro D, Fanchamps JM, Dondelinger RF. Congenital bronchial abnormalities revisited. Radiographics. 2001;21:105–19.
Evans JA. Aberrant bronchi and cardiovascular anomalies. Am J Med Genet. 1990;35:46–54.
Berrocal T, Madrid C, Novo S, Gutierrez J, Arjonilla A, Gomez-Leon N. Congenital anomalies of the tracheobronchial tree, lung, and mediastinum: embryology, radiology, and pathology. Radiographics. 2004;24:e17.
Ming Z, Lin Z. Evaluation of tracheal bronchus in Chinese children using multidetector CT. Pediatr Radiol. 2007;37:1230–4.
Shipley RT, McLoud TC, Dedrick CG, Shepard JA. Computed tomography of the tracheal bronchus. J Comput Assist Tomogr. 1985;9:53–5.
Matsushima H, Takayanagi N, Satoh M, et al. Congenital bronchial atresia: radiologic findings in nine patients. J Comput Assist Tomogr. 2002;26:860–4.
McAdams HP, Kirejczyk WM, Rosado-de-Christenson ML, Matsumoto S. Bronchogenic cyst: imaging features with clinical and histopathologic correlation. Radiology. 2000;217:441–6.
Corbett HJ, Humphrey GM. Pulmonary sequestration. Paediatr Respir Rev. 2004;5:59–68.
Stocker JT. Congenital pulmonary airway malformation: a new name for and an expanded classification of congenital cystic adenomatoid malformation of the lung. Histopathology. 2002;41:424–30.
Cleveland RH, Weber B. Retained fetal lung liquid in congenital lobar emphysema: a possible predictor of polyalveolar lobe. Pediatr Radiol. 1993;23:291–5.
Ashizawa K, Ishida Y, Matsunaga N, Otsuji H, Sakamoto I, Hayashi K. Anomalous systemic arterial supply to normal basal segments of left lower lobe: characteristic imaging findings. J Comput Assist Tomogr. 2001;25:764–9.
Leithiser RE, Capitanio MA, Macpherson RI, Wood BP. “Communicating” bronchopulmonary foregut malformations. AJR Am J Roentgenol. 1986;146:227–31.
White RI, Mitchell SE, Barth KH, et al. Angioarchitecture of pulmonary arteriovenous malformations: an important consideration before embolotherapy. AJR Am J Roentgenol. 1983;140:681–6.
Acknowledgments
The authors express their gratitude to Shuhei Inoue, MD, Director and Chief of Department of Thoracic Surgery, National Hospital Organization Shiga Hospital, for his provision of the imaging data of Fig. 3 in this manuscript.
Author information
Authors and Affiliations
Corresponding author
About this article
Cite this article
Watarai, F., Takahashi, M., Hosoya, T. et al. Congenital lung abnormalities: a pictorial review of imaging findings. Jpn J Radiol 30, 787–797 (2012). https://doi.org/10.1007/s11604-012-0132-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11604-012-0132-1