Perinatal Thoracic Mass Lesions: Pre- and Postnatal Imaging

Chest masses present a common problem in the perinatal period. Advances in prenatal ultrasound, supplemented by fetal magnetic resonance imaging, now allow early detection and detailed characterization of many thoracic lesions in utero. As such, in asymptomatic infants, assessment with postnatal com...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI CT, and MRI, 2015-12, Vol.36 (6), p.501-521
Main Authors: Zucker, Evan J., MD, Epelman, Monica, MD, Newman, Beverley, BSc, MBBCh, FACR
Format: Article
Language:English
Subjects:
Diagnosis, Differential
Female
Humans
Image Enhancement - methods
Infant, Newborn
Magnetic Resonance Imaging - methods
Male
Radiography, Thoracic - methods
Radiology
Thoracic Neoplasms - diagnosis
Tomography, X-Ray Computed - methods
Ultrasonography, Prenatal - methods
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Summary:Chest masses present a common problem in the perinatal period. Advances in prenatal ultrasound, supplemented by fetal magnetic resonance imaging, now allow early detection and detailed characterization of many thoracic lesions in utero. As such, in asymptomatic infants, assessment with postnatal computed tomography or magnetic resonance imaging can often be delayed for several months until the time at which surgery is being contemplated. Bronchopulmonary malformations comprise most of the thoracic masses encountered in clinical practice. However, a variety of other pathologies can mimic their appearances or produce similar effects such as hypoplasia of a lung or both lungs. Understanding of the key differentiating clinical and imaging features can assist in optimizing prognostication and timely management.
ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2015.05.016