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Radiology
Other Thoracic Tumors and Masses
Built from Obstetric Imaging
What’s inside
6 sections · 73 slides
Overview
- A lump in the fetal chest: the two masses covered here
- Two names, in plain words
- Why a chest mass matters before birth
Bronchogenic cyst
A single fluid pocket built from airway tissue, in the lung or between the lungs
- What a bronchogenic cyst actually is
- How the cyst comes to exist
- Timing decides where the cyst ends up
- Where these cysts sit
- How the cyst wall is built
- Cyst lining seen under the microscope
- A bronchogenic cyst removed at surgery
- 20–30%
- Reading those numbers with care
- What the child or adult usually feels
- When a cyst blocks a bronchus
- Why that cascade is dangerous
- What the ultrasound shows
- Large right-sided chest cyst with fetal hydrops
- The cyst on plain two-dimensional ultrasound
- The same cyst with colour Doppler switched on
- What to notice in those two panels
- The same lesion without complications
- The cyst you can easily miss
- What MRI adds, and what it does not
- How the cyst looks on MRI
- The classic signs, in one line each
Telling it apart
The cystic masses of the fetal chest that look alike on the screen
- The two lesions most often confused with it
- CPAM tissue under the microscope
- Two more cysts to keep in mind
- Reading the clues in a fetal cystic chest mass
Treating a bronchogenic cyst
What can be offered before birth, and what is planned for afterwards
- What can be done before birth
- Delivering a baby with a big cyst
- What happens after birth
- Why surgeons do not simply wait
- What the referring physician needs to know
- Bronchogenic cyst in two sentences
Lymphangioma
A walled-off pool of lymph that grows because it keeps filling
- What a lymphangioma is
- Two forms, told apart on the scan
- Cystic versus cavernous
- 1.1–5.3
- Why those two prevalence figures differ so much
- When lymphangiomas become visible
- How a lymphangioma forms
- Lymph-filled spaces under the microscope
- Why location matters more than the name
- Where lymphangiomas arise
- The chromosome question
- So is karyotyping still offered?
- A lymphangioma crossing the chest and abdominal wall
- Chest-wall cystic hygroma in a child
- What the ultrasound shows
- What the fluid inside looks like
- MRI and three-dimensional imaging
- The hardest look-alike
- Teratoma and haemangioma: how they differ
- Huge chest mass inverting the diaphragm, with massive hydrops
- What that scan teaches
- What can be tried before birth
- When a lung lymphangioma behaves like a CPAM
- Surgery after birth
- The limit of intensive care
- What the referring physician needs to know
- Lymphangioma in three lines
Pulling it together
The two masses side by side, and what actually decides the outcome
- The two masses side by side
- What actually decides the outcome
- How to counsel and plan
- References
- References (continued)
- References (continued)
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- Suggested readings
- Obstetric Imaging: Fetal Diagnosis and Care, 2nd Edition