Indian J Radiol Imaging word 1.docx

8/20/2019 Indian J Radiol Imaging word 1.docx

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Indian J Radiol Imaging. 2013 Jan-Mar; 23(1): 8–14.doi: 10.4103/0971-3026.113612

M!I": M!3737621

Inadvertent chest tube insertion in

congenital cystic adenomatoid

malformation and congenital lobar

emphysema-highlighting an importantproblem

#$ail%&$ M ra'$ #'$a&i& Ro* !$od$r*1 Ra+i # #olan,i r$aran #

#$%* and #r%nd%r,mar garala1

"%arm%n o Radiodiagno&i& ad* 5arding% M%dial !oll%g% and &&o.

alaai #aran !$ildr%n& 5o&ial % "%l$i India1"%arm%n o %diari #rg%r* ad* 5arding% M%dial !oll%g% and &&o.

alaai #aran !$ildr%n& 5o&ial % "%l$i India

Correspondence: "r. #$ail%&$ M. ra'$ "%arm%n o Radiodiagno&i& ad*

5arding% M%dial !oll%g% and &&o. ## and #! 5o&ial& !onnag$ la%

% "%l$i - 01 India. -mail: mo.liamg281$&%lia$&

!o*rig$ : Indian Jornal o Radiolog* and Imaging

$i& i& an o%n-a%&& aril% di&ri'%d nd%r $% %rm& o $% !r%ai+%

!ommon& ri'ion-onomm%rial-#$ar% li,% 3.0


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Materials and Methods:

!$%& radiogra$& and ! &an& o $ildr%n i$ ong%nial *&i lng l%&ion&

$o $ad inad+%r%n $%& '% in&%rion r%o%rai+%l* %r% r%ro&%i+%l*

r%+i%%d or imaging a%aran%& and omliaion&.

esults:

=i%%n ai%n& omri&ing 10 a&%& o ong%nial *&i ad%nomaoid

malormaion (!!M) and > a&%& o ong%nial lo'ar %m$*&%ma (!) %r%

inld%d. Ma?ori* o $% a&%& %r% inan&. !!M a& mi&diagno&%d a&

omlia%d n%mao%l% (n @ >) and n%mo$oraA (n @ >) $il% ! a&

mi&diagno&%d a& %n&ion n%mo$oraA (n @ >) on $% $%& radiogra$ inding&.

=inal diagno&i& a& mad% on ! and o%rai+% inding& i$ $i&oa$olog*.

!omliaion& no%d %r% n%mo$oraA $*dron%mo$oraA and in%ion in

a&%& o !!M and $ang% in imaging a%aran% and n%mo$oraA in a&%& o

!.

Conclusion:

!$%& '% in&%rion in ong%nial *&i l%&ion& inr%a&%& $% ra% o a&&oia%d

omliaion&. !$%& ! $a& a d%ini% rol% in %arl* diagno&i& and d%iding

aroria% manag%m%n in $%&% a&%&.

!ey"ords: !$%& '% in&%rion a&%& o ong%nial *&i ad%nomaoid

malormaion ong%nial lo'ar %m$*&%ma *&i l%n l%&ion n%mao%l% n%mo$oraA

Introduction

!*&i l%n lng l%&ion on $%& radiogra$ i& a ommon inding in $ildr%n

r%&%ning i$ a% r%&iraor* di&r%&&. $% romin%n di%r%nial& or *&i

l%n $%& l%&ion on $%& radiogra$ in inan& and *ong $ildr%n (nd%r 3

*%ar& o ag%) i$ r%&iraor* di&r%&& ar% o&-in%i+% n%mao%l%

n%mo$oraA ong%nial dia$ragmai $%rnia (!"5) ong%nial *&i

ad%nomaoid malormaion (!!M) ong%nial lo'ar %m$*&%ma (!) lmonar* &%B%&raion 'ron$og%ni *& and 'llo& lng di&%a&%.C123D

!ong%nial *&i lng l%&ion& ar% r%lai+%l* rar% in inid%n% and $a+% a +ari%d

linial r%&%naion.C4D Ma?ori* o $% ai%n& &all* r%&%n in inan* or

i$in $% ir& 3 *%ar& o li%. En $%& radiogra$ $%&% ai%n& &all* r%&%n

a& *&i l%n lng l%&ion& i$ or i$o ma&& %%. In d%+%loing onri%&

$% inid%n% o $%& in%ion and in%ion-r%la%d omliaion&

(n%mo$oraA and n%mao%l%&) i& $ig$ and $%* ar% on&id%r%d o '% $%

mor% ommon a&%& o l%n *&i l%&ion& on $%& radiogra$ in ai%n& i$

r%&iraor* di&r%&&.C>D !$%& '% in&%rion ino ong%nial *&i lng l%&ion&

mi&a,ing $%m or an in%ion-r%la%d omliaion i& a r%rring linial

ro'l%m $i$ $a& '%%n r%or%d in $% li%rar% a& i&ola%d a&% r%or&/&%ri%&

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref1http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref3http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref5http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref1http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref3http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref4http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref5


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and i& a&&oia%d i$ inr%a&%d ra% o omliaion& in $% ai%n Ca'l% 1D.

C6789101112D $% ma?or %rror& in diagno&i& l%ading o $%& '% in&%rion ar%

d% o $% ina'ili* o di%r%nia% !!M rom %n&ion

n%mo$oraA/n%mao%l% and ! rom a %n&ion n%mo$oraA. $% ro&%

o $% &d* a& o %+ala% $% imaging inding& and omliaion& a&&oia%di$ $%& '% in&%rion in ong%nial *&i lng l%&ion& and r%+i% $% rol% o

imaging or aroria% manag%m%n o $%&% ai%n&. In addiion % aim%d o

$ig$lig$ $i& imoran r%rring ro'l%m.

Materials and Methods

F% r%+i%%d $% a&% r%ord& o $ildr%n i$ ong%nial *&i lng

malormaion& $o %r% o%ra%d a or in&iion rom 1998 o 2011. ai%n&

i$ ong%nial *&i lng malormaion onirm%d on imaging ($%& radiogra$

and !) &rg%r* and $i&oa$olog* and $o $ad an inad+%r%n $%& '%in&%rion r%o%rai+%l* %r% inld%d in $% &d*. F% oll%%d inormaion

r%la%d o linial r%&%naion imaging inding& on $%& radiogra$ and ! and

o%rai+% and $i&oa$olog* inding&. n in+%&igaor &di%d $% imaging

inding& on lain $%& radiogra$ ( or ) '%or% and a%r '% in&%rion. !

&an a& %rorm%d i$ a 40-&li% mli-d%%or om%riG%d omogra$*

(M"!) &ann%r ($ili& Hrillian%) &ing a roin% $%& ! roool or

$ildr%n i$ 80-, '% +olag% and 80-m '% rr%n. Inra+%no& iodina%d

onra& m%dim (lo o&molar non-ioni 300 mg/ml iodin% on%n) a& &%d

roin%l* a a do&% o 2 ml/,g 'od* %ig$ admini&%r%d '* $and in?%ion. $%

m%an ! do&% ind%A +olm% in or &d* a& ond o '% 3.0 0.8 m*.

$% imaging inding& a ! %r% orr%la%d i$ $%& radiogra$ and &rgial

inding&. F% al&o &di%d $% ! imag%& or $ang%& in imaging a%aran% and

omliaion& d% o $%& '% in&%rion.

esults

E o >4 $ildr%n o%ra%d or ong%nial *&i lng l%&ion 1> $ildr%n (27K)

i$ an inad+%r%n $%& '% in&%rion r%o%rai+%l* 'a&%d on lain radiogra$

inding& %r% id%nii%d. $% $ildr%n %r% a%goriG%d ino o gro& 'a&%d on

$% inal diagno&i& a& !!M and !.

Cases diagnosed as CCAM

$%r% %r% 10 a&%& (66K) o !!M in $% &%ri%& Ca'l% 2D. R%&iraor* di&r%&&

a& r%&%n in all 10 ai%n& a r%&%naion %+%r in 3 ai%n& og$ in 3

ai%n& and *ano&i& in 1 ai%n. r%naal lra&ond (


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*&i l%n*. In &%+%n a&%& $% *&i $*%rl%n l%&ion a& &%%n loaliG%d o

a lng &%gm%n $il% in $r%% a&%& i a& &%%n o in+ol+% $% $ol% lng i%ld.

Ma&& %% i$ r%&lan m%dia&inal &$i a& &%%n in &%+%n a&%& $il% $r%%

a&%& &$o%d *&i l%n l%&ion i$ no ma&& %%. =olloing $%& '%

in&%rion r%&iraor* di&r%&& inr%a&%d in all 10 ai%n& and a ! &an a& %rorm%d o rl% o omliaion&. For&%ning o r%&iraor* di&r%&& a&

d%%rmin%d 'a&%d on linial no%&; in &om% a&%& o'?%i+% m%a&r%& (inr%a&%d

oA*g%n r%Bir%m%n&) %r% a+aila'l%.

En ! mlil% $in-all%d *&i l%&ion& in+ol+ing an %nir% lo'% o lng %r%

&%%n. Mli&%a%d *&i l%&ion& i$ &ingl% dominan *& %r% &%%n in nin%

a&%& $il% &ingl% air-ill%d *&i l%&ion a& &%%n in on% a&%. $% diagno&i& a&

*% 1 !!M in nin% a&%& and *% 2 !!M in on% a&%. $% a%%d lng

&%gm%n &$o%d no normal in%r+%ning lng ar%n$*ma '%%%n $% *&& in an*

o $% a&%&. Ma&& %% and m%dia&inal &$i %r% &%%n in &%+%n a&%&. E $%

$r%% a&%& in $i$ $% *&i l%n* a& &%%n in+ol+ing $% $ol% lng i%ld on lain radiogra$ ! &$o%d $% l%&ion o li% in $% l% lo%r lo'% in o a&%&

and in $% rig$ lo%r lo'% in on% a&%. En% o $% a&%& $o did no $a+% ma&&

%% on iniial $%& radiogra$ &$o%d m%dia&inal &$i on ! olloing $%&

'% in&%rion. "% o $%& '% in&%rion mod%ra% $*dron%mo$oraA and

n%mo$oraA %r% &%%n in o a&%& %a$ r%&ling in &om% +olm% lo&& o $%

&rronding lng. l%ral %&ion a& no%d in on% a&% and &'an%o&

%m$*&%ma in o a&%&. In or a&%& air lid l%+%l& and on&olidaion

d%+%lo%d olloing $%& '% in&%rion $i$ a& no r%&%n on $% iniial

radiogra$ $i$ &gg%&%d $% d%+%lom%n o &%ondar* in%ion. $i& a&

orr%la%d i$ linial inding& and 'lood on&. ll 10 ai%n& nd%r%n

lo'%om* and diagno&i& a& onirm%d a $i&oa$olog*. & a r%&l o $%

omliaion& d% o $%& '% in&%rion ad$%&ion& %r% no%d arond $% *&

$a a&%d diil* dring &rgial %Ai&ion o $% l%&ion&. o morali* a&

no%d a& a r%&l o $%& '% in&%rion.

Cases diagnosed as C#$

$%r% %r% i+% a&%& o ! mi&diagno&%d a& n%mo$oraA on iniial lain

radiogra$ i$ r%&lan $%& '% in&%rion in $% &d*. r%naal


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m%dia&inal &$i. In on% a&% o ! mlil% $%& '% in&%rion& r%&l%d in

on&olidaion lmonar* $%morr$ag% n%mo$oraA and l%d o lo&& o *ial

diagno&i $*%rinla%d lng &%gm%n on !. $i& mad% i diil o ma,% a

d%ini% diagno&i& o ! on $% iniial !. 5o%+%r d%&i% $% $%& '%

in&%rion $% a%%d lng &%gm%n loo,%d mildl* $*%rl%n omar%d o $%&rronding lng and a o&&i'ili* o ! a& &gg%&%d. $% ai%nL& $%& '%

a& r%mo+%d $i$ imro+%d $% r%&iraor* di&r%&&. r%%a ! o $% ai%n

3 mon$& la%r &$o%d $% la&&ial $*%rinla%d lo'% &gg%&i+% o !. "% o

$%& '% in&%rion &'an%o& %m$*&%ma a& &%%n in $r%% ai%n& and

mod%ra% n%mo$oraA in $r%% ai%n& r%&ling in minimal +olm% lo&& o $%

ad?a%n lng. ll i+% ai%n& %r% o%ra%d and diagno&i& onirm%d on

$i&oa$olog*. o morali* a& no%d a& a r%&l o $%& '% in&%rion.

%iscussion

!!M i& a d%+%lom%nal a'normali* o lng in $i$ $%r% i& a'normal

ad%nomaoid roli%raion o 'ron$ial &rr%& a& *&& ra$%r $an normal

al+%oli and i& limi%d o a &ingl% lo'% in $% ma?ori* o a&%&. $%&% a'normalii%&

&all* r%&%n in n%ona%& and inan& ' ar% al&o ,non o or in adl&. $%

ma?ori* o ai%n& i$ !!M in or &%ri%& %r% inan&. #o,%r et al .

la&&ii%d !!M ino $r%% *%& d%%nding on $% &iG% o *&& onain%d in

$% l%&ion.C13D $% a%aran% o $% l%&ion on $%& radiogra$ and ! d%%nd&

on $% nm'%r &iG% and amon o lid i$in $% l%&ion. En lain radiogra$

!!M an r%&%n a& a *&i l%n lng l%&ion i$ or i$o ma&& %%.

$%r% ar% mlil% i&ola%d r%or& o $%& '% in&%rion in !!M a%r

mi&a,ing i or omlia%d n%mao%l% and %n&ion n%mo$oraA.C6811D Inor &d* !!M a& mi&a,%n a& n%mao%l% in i+% a&%& and n%mo$oraA

in i+% a&%& on iniial $%& radiogra$ r%&ling in $%& '% in&%rion. In &%+%n

a&%& *&i l%n* a& loaliG%d o a ar o $% lng i%ld %i$%r in $% %r or

lo%r lo'% $il% in $r%% a&%& o !!M in+ol+ing $% lo%r lo'%& i a& &%%n

o %A%nd o+%r $% %nir% lng i%ld C=igr% 1D. $& !!M in+ol+ing $% lo%r

lo'%& mig$ r%&%m'l% a n%mo$oraA '* &$oing l%n* aro&& $% %nir% lng

i%ld; $o%+%r $% r%&%n% o &%aion& i$in $% *&i l%n l%&ion r%&%n%

o +a&lar mar,ing& and r%lai+% la, o l%n* in $% nin+ol+%d aial r%gion

oin oard a diagno&i& o !!M. mli&%a%d *&i l%n l%&ion a& &%%n

in nin% a&%& $il% &ingl% *&i l%n* a& no%d in onl* on% a&%. $& $%

r%&%n% o &%aion& i$in a *&i l%n l%&ion &$old &gg%& a o&&i'ili* o!!M. Ma&& %% and $% r%&lan m%dia&inal &$i %r% &%%n in $% ma?ori*

o or a&%&.

& no%d in or &d* ! a& diagno&i in all a&%& and $%l%d in orr%l*

loaliGing $% l%&ion d%%ing $% o&iion o $%& '% and d%mon&raion o

omliaion& d% o $%& '% in&%rion. $& i $ad an addii+% rol% o+%r $%&

radiogra$. $% omliaion& no%d in or &%ri%& %r% n%mo$oraA

$*dron%mo$oraA l%ral %&ion in%ion and &'an%o& %m$*&%ma

C=igr%& C=igr%&2 2--4D 4D Ca'l% 2D. In addiion '% in&%rion r%&l%d in $%

ormaion o ad$%&ion& arond $% *& d% o in%ion $i$ a&%d diil*

dring &rgial %Ai&ion.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref13http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref8http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref11http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F1/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F2/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F4/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/table/T2/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref13http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref8http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref11http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F1/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F2/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F4/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/table/T2/


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In or &%ri%& >0K a&%& o !!M %r% mi&diagno&%d or omlia%d

n%mao%l%&. n%mao%l%& ar% o&-in%io& $in-all%d oll%ion& o air

i$in $% lng ar%n$*ma ommonl* &%%n in inan& and $ildr%n o 3 *%ar&

o ag% and ar% g%n%rall* ,non o a%ar dring $% r%&ol+ing &ag%& o

&a$*looal and &r%ooal n%monii&. 5o%+%r n*o&$i et al . no%d$a n%mao%l%& ma* '% &%%n on $% ir& $%& radiogra$ in 80K o $% a&%&

and $a o 90K o $% n%mao%l%& &$o &onan%o& r%&olion '* 3

mon$&.C>D $% imaging inding& o !!M ma* '% indi&ingi&$a'l% rom $o&%

o n%mao%l%& in &om% a&%& on $%& radiogra$ and !.C14D $% r%&%n% o

normal lng ar%n$*ma '%%%n $% *&& ma* '% an imoran ! ri%rion o

di%r%nia% a n%mao%l% rom a !!M in $i$ $% %nir% a%%d ar o

lng ar%n$*ma i& a'normal. l$og$ in d%+%loing onri%&

n%mo$oraA/n%mao%l% ma* '% mor% ommon a&%& o *&i $%&

l%n* a o&&i'ili* o a ong%nial *&i malormaion m& '% ala*& '% ,%

in mind %&%iall* in $ildr%n l%&& $an 3 *%ar& o ag% $%n mlil% *&i

l%ni%& ar% &%%n in a loaliG%d ar%a i$ no &rronding on&olidaion. $%r% i& ai* o li%rar% r%garding $% a'ili* o lain radiogra$ and ! o orr%l*

di%r%nia% !!M rom n%mao%l%& and r$%r &di%& ma* '% r%Bir%d.

!$%& '% in&%rion &$old '% a+oid%d in ong%nial *&i lng l%&ion& and a

rior ! i& ad+oa%d i a*ial inding& ar% ond on $% $%& radiogra$.

"ir% $%& '% in&%rion i& r%omm%nd%d onl* in %Ar%m% a&%& i$ &%+%r%

r%&iraor* di&r%&& and &igniian m%dia&inal &$i $i$ ma* d%omr%&& a

o%nial n%mo$oraA %n&ion n%mao%l% or a larg% !!M. $i& al&o orm&

$% 'a&i& o %al $oraoamnioi &$ning or d%omr%&&ion o larg% !!M.

C1>16D l&o a& no%d in or &d* no inr%a&%d morali* a& &%%n d% o $%&

'% in&%rion.

! i& a rar% ong%nial lng anomal* $ara%riG%d '* o&naal o+%r%Aan&ion

o on% or mor% lo'%& o a $i&ologiall* normal lng. $% mo& ommon lo'%&

a%%d ar% l% %r lo'% ollo%d '* rig$ middl% and rig$ %r lo'%&.C2D $%

l% %r lo'% (or a&%&) a& $% mo& ommonl* a%%d lo'% in or &d*.

Ma?ori* o $% ai%n& r%&%n in $% imm%dia% n%onaal %riod; $o%+%r

r%&%naion in la% inan* and %arl* $ild$ood i& %ll ,non.C2D En $%&

radiogra$ a $*%rl%n $*%r%Aand%d a%%d lng i%ld i& &%%n $a &$o&

$%rniaion aro&& $% midlin% and m%dia&inal &$i.C3D $i& radiogra$i

a%aran% an '% mi&a,%n or a n%mo$oraA/%n&ion n%mo$oraA i$

r%&lan $%& '% in&%rion and $i& ro'l%m $a& '%%n id%l* r%or%d in $%li%rar%.C67910D !$%& '% in&%rion in ! or&%n& $% ai%nL& ondiion '*

roding n%mo$oraA &'an%o& %m$*&%ma and inr%a&% in m%dia&inal

&$i and ma* r%&l in d%la* in diagno&i& a& a& no%d in or &d*. $i& i&

$o%+%r l%arl* a+oida'l% '* ar%l linial and radiologial orr%laion. !ar%l

o'&%r+aion o $% $%& radiogra$& in ! ill d%mon&ra% &an lng mar,ing&

i$in $% $*%rl%n ar%a $i$ ill no '% &%%n in a&% o a n%mo$oraA

C=igr% >D. ll $% a&%& in or &d* &$o%d ain +a&lar mar,ing& i$in $%

$*%rl%n ar%a. $i& inding i& $o%+%r &'?% o in%rr%i+% %rror a&

%+id%n%d '* mlil% a&% r%or& r%oring $i& ro'l%m. In addiion in !

omr%&&ion o $% ad?a%n lo'%& &$%& $%m %$alad or adal oard $%

dia$ragm $il% in a&%& o n%mo$oraA $% lng olla&%& oard $% $ilm.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref5http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref14http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref15http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref16http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref16http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref3http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref7http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref9http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref10http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F5/http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref5http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref14http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref15http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref16http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref2http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref3http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref6http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref7http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref9http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/?report=printable#ref10http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3737621/figure/F5/


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#imilar o'&%r+aion& $a+% '%%n no%d in r%+io& r%or&.C10D ! i& diagno&i in

! and i& r%omm%nd%d or onirmaion or diagno&i& and or d%lin%aion o

$% a%%d lo'% r%o%rai+%l*. En ! $*%rinla%d lo'% i$ a%na%d and

di&la%d lmonar* +%&&%l& i& a *ial a%aran% o !.C2D 5o%+%r a& &%%n

in on% o or a&%& i$ mlil% $%& '% in&%rion& $i& *ial imaginga%aran% ma* '% lo& ma,ing a d%inii+% diagno&i& diil %+%n a ! C=igr%

6D.

!$%& radiogra$ i& an imoran iniial in+%&igaion in $% %+alaion o *&i

l%n lng l%&ion&. roria% di%r%nial& ma* '% on&id%r%d '* noing $%

&iG% o&iion loaion nm'%r and %+olion o *&& $% ag% o ai%n and '*

omari&on i$ r%+io& $%& radiogra$&.C1D "%ail%d $%& radiogra$

%+alaion o $% lng 'ord%r& 'ron$o+a&lar mar,ing& m%dia&inal &$i

&%aion& i$in *&& on&olidaion &rronding $% *&i l%n* o&iion o

olla&%d lo'%& dia$ragmai margin& and r%+i% o r%+io& -ra*& in an

%m%rg%n* &%ing i& +ial or orr% diagno&i&. 5o%+%r $% imaging inding& o!!M ma* '% indi&ingi&$a'l% rom $o&% o n%mao%l%& in &om% a&%& on

$%& radiogra$.


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&d* o+%r a long draion $% %Aa d%ail& o $% raining l%+%l o $% rimar*

r%ad%r o $% $%& radiogra$ %r% no a+aila'l%. In addiion $% ri%ria or

inl&ion in or &d* ($%& '% in&%rion in ai%n& i$ ong%nial lng

l%&ion&) ro'a'l* r%&l%d in inl&ion o a&%& i$ r%lai+%l* a*ial inding& on

$%& radiogra$.

Conclusion

!$%& '% in&%rion in ong%nial *&i lng l%&ion& or&%n& $% r%&iraor*

di&r%&& and inr%a&%& $% ra% o omliaion& li,% n%mo$oraA

$*dron%mo$oraA in%ion and &'an%o& %m$*&%ma. I ma* al&o r%&l

in $ang% in imaging inding& r%&ling in d%la* in diagno&i&. !$%& ! $a& an

imoran rol% in onirming $% diagno&i& d%%ing $% omliaion& and

d%iding aroria% $%ra*.

&ootnotes

'ource of 'upport: il

Conflict of Interest: on% d%lar%d.

eferences

1. odin J" F%'' FR #a+oa !J am& oodman !. Mlil% $in-

all%d *&i l%&ion& o $% lng. JR m J Ro%ng%nol. 1980;13>:>93–604.C'M%d: 6773384D

2. "illman JR #an$%G R adino-orr%& M= Narram # #ro&% J a*a J.

Aanding on $% nila%ral $*%rl%n $%mi$oraA in $ildr%n. Radiogra$i&.

2011;31:723–41. C'M%d: 21>716>3D

3. i&rarana a$rong$i J aiaanaong . !lini& in diagno&i

imaging (86). Rr%d 'ron$og%ni *&. #ingaor% M%d J. 2003;44:32>–9.

C'M%d: 14>60868D

4. #$arG MO Rama$andran . !ong%nial malormaion& o $% lng and

m%dia&inm-a Bar%r %nr* o %A%ri%n% rom a &ingl% in&iion. J %diar

#rg. 1997;32:44–7. C'M%d: 9021>66D

>. n*o&$i !aan%o " !aan%o . !omlia%d n%monia& i$ %m*%maand/or n%mao%l% in $ildr%n. %diar #rg In. 2006;22:186–90. C'M%d:

16362309D

6. andi M Mondal R. !ong%nial *&i di&ord%r& o lng ma&B%rading a&

omlia%d n%monia and n%mo$oraA: a&% &%ri%&. a&%rn J M%d.

2010;1>:12>–7.

7. o%r& J !on&%lman =. !ong%nial lo'ar %m$*&%ma: '% $orao&om*

no $% r%am%n. %diar m%rg !ar%. 200>;21:760–2. C'M%d: 162809>2D

8. mar H graal " #$arma #H. !ong%nial 'ron$olmonar*

malormaion&: &ingl%-%n%r %A%ri%n% and a r%+i% o li%rar%. nn $ora

M%d. 2008;3:13>–9. CM!I": M!2700447D C'M%d: 19>6189>D


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9. %m% " irmani # Ja+%,ar # Han%r?%% ri # "a . !ong%nial

lo'ar %m$*&%ma: iall& and manag%m%n. nn !ard na%&$. 2010;13:>3–8.

C'M%d: 2007>>37D

10. D

11. #iig # &a* =. !ong%nial *&i ad%nomaoid malormaion in $%

n%'orn: o a&% &di%& and r%+i% o $% li%rar%. R%&ir !ar%.

2000;4>:1188–9>. C'M%d: 110>4898D

12. !$od$r* #R !$ad$a R Mi&$ra mar #ing$ "'%* . ng

r%&%ion& in $ildr%n or ong%nial and aBir%d l%&ion&. %diar #rg In.

2007;23:8>1–9. C'M%d: 17671788D

13. #o,%r J Mad%%ll J "ra,% RM. !ong%nial *&i ad%nomaoid

malormaion o $% lng. !la&&iiaion and mor$ologi &%rm. 5m a$ol.

1977;8:1>>–71. C'M%d: 8>6714D

14. rora M5g$ . l%ral n%maoo%l%& mimi,ing ong%nial *&iad%nomaoid malormaion o $% lng. a&% r%or. a Radiol. 1998;39:>20–

2. C'M%d: 97>>701D

1>. Fil&on R" HaA%r J Jo$n&on M ing M a&%r&,i # !rom'l%$olm%

M % al. $oraoamnioi &$n&: =%al r%am%n o l%ral %&ion& and

ong%nial *&i ad%nomaoid malormaion&. =%al "iagn $%r. 2004;19:413–20.

C'M%d: 1>30>098D

16. #$r%* # %ll* ang%r J! "a+i%& Findrim R #%aard % al.

=%al $oraoamnioi &$ning or larg% maro*&i ong%nial *&i

ad%nomaoid malormaion& o $% lng. 32D

17. i$%n&%in " M%GiQr% a&ol& Hid%rman !orr% J %n%r %

al. ;33:1231–

8. C'M%d: 1>942336D

18. o'l% . $in, lra&ond $%n %+alaing or n%mo$oraA. J 01–4. C'M%d: 22368142D

19. !ol%* H". %diari !$%& ;43:40>–

18. C'M%d: 1>737376D

20. im E5 im F# im MJ Jng JN #$ J5. 3–71. C'M%d: 1083>119D

&igures and (ables

(able )


10/14

!$%& '% in&%rion in !!M and !: R%+i% o li%rar%

(able *


11/14

#mmar* o a&%& i$ omliaion&

&igure ) +A, B

3-mon$-old inan i$ r%&iraor* di&r%&&. () !$%& radiogra$ &$o& *&i

$*%rl%n l% lng i%ld i$ &%aion& (arro) and ma&& %%. $i& a&

mi&a,%n a& n%mao%l% i$ r%&lan $%& '% in&%rion. (H) ! $%& aAial


12/14

&%ion i$ lng indo &$o& a $in-all%d *& in l% lo%r lo'% i$ ma&&

%%. "iagno&i& a& onirm%d a%r &rg%r* a& *% 1 !!M

&igure * +A, B

Inan i$ r%&iraor* di&r%&&. () !$%& radiogra$ &$o& a mli&%a%d *&i

l%n* ('la, arro) in $% rig$ lng i%ld i$ m%dia&inal &$i. $%& '%

($i% arro) a& in&%r%d a%r mi&a,ing i or a n%mo$oraA. (H) ! $%&

aAial &%ion i$ lng indo &$o& mlil% $in-all%d *&& in $% rig$

%r lo'%. "iagno&i& a& onirm%d a%r &rg%r* a& *% 1 !!M

&igure . +A-C

! $%& lng indo aAial &%ion& &$o () $%& '% in&%rion ('la, arro)

in a mli&%a%d *&i l%&ion in $% rig$ %r lo'% (H) r%&ling in $%

ormaion o $*dron%mo$oraA ($i% arro). (!) !oronal imag% &$o& $%

$%& '% ('la, arro) in $% mli*&i l%&ion and $% r%&lan n%mo$oraA

($i% arro). "iagno&i& a& onirm%d a%r &rg%r* a& *% 1 !!M

&igure / +A, B


13/14

() !$%& radiogra$ &$o& *&i l%n* in+ol+ing $% $ol% o $% rig$ lng

i%ld i$ $%& '% in&%rion and &'an%o& %m$*&%ma. (H) !$%& ! aAial&%ion i$ lng indo &$o& mlil% $in-all%d *&i l%&ion& &$oing air

lid l%+%l ('la, arro) and n%mo$oraA ($i% arro). "iagno&i& a&

onirm%d a%r &rg%r* a& *% 1 !!M

&igure 0 +A-C

() !$%& radiogra$ &$oing $*%rl%n l% lng i%ld $%rniaing aro&& $%

midlin% i$ r%&%r+%d +a&lar mar,ing&. $i& a& mi&a,%n a& n%mo$oraA

i$ r%&lan $%& '% in&%rion. (H) ! aAial &%ion lng indo &$o& a

$*%rinla%d l% lng &%gm%n i$ a%na%d lng mar,ing&. (!) %ro%rai+%imag% &$o& $% $*%rinla%d l% %r lo'% ('la, arro) in omari&on o $%

normall* a%ra%d l% lo%r lo'% ($i% arro). "iagno&i& a%r &rg%r* onirm%d

$i& a& a l% %r lo'% !

&igure 1 +A-%


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7-mon$-old $ild i$ mlil% $%& '% in&%rion& d% o linial &&iion

o n%mo$oraA. !$%& ! imag%& lng indo aAial and oronal +i%& (-!)

&$o a &lig$l* $*%rinla%d l% %r lo'% i$ a n%mo$oraA d% o mlil%

$%& '% in&%rion& ('la, and $i% arro&). 5o%+%r on omari&on i$

ad?a%n lng &%gm%n& $% $*%rinlaion i& no o'+io& or d%inii+% diagno&i&

o !. (") =ollo- ! 3 mon$& la%r &$o& $*%rinla%d l% %r lo'%

i$ a%na%d +a&lar mar,ing& diagno&i or !. "iagno&i& a& onirm%d

a%r &rg%r*

ril%& rom $% Indian Jornal o Radiolog* Imaging ar% ro+id%d $%r%

or%&* o Medkno" 2ublications

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