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Pulmonary sequestration. Diagnosis by ultrasound
M S West1, J S Donaldson, A Shkolnik
1Department of Radiology, Children's Memorial Hospital, Chicago, Illinois 60614.
Summary
Sonography effectively diagnosed pulmonary sequestration in infants by identifying echogenic chest masses with vascularity. This imaging technique is recommended when suspecting this congenital lung malformation.
Area of Science:
- Pediatric Radiology
- Congenital Abnormalities
Background:
- Pulmonary sequestration is a rare congenital lung malformation.
- Accurate and timely diagnosis is crucial for appropriate management.
Observation:
- Sonographic imaging revealed highly echogenic basilar chest masses in newborns and infants.
- Vascular structures within the masses were visualized, with aortic origin confirmed in two cases.
Findings:
- Sonography accurately diagnosed surgically confirmed pulmonary sequestration in all evaluated infants.
- The characteristic echogenic appearance with vascularity aids in diagnosis.
Implications:
- Chest sonography is a valuable, non-invasive tool for diagnosing pulmonary sequestration.
- Early sonographic evaluation can guide further management decisions.