Most congenital lung anomalies are discovered in utero, often at the early 2nd trimester US screening, this may be followed by a prenatal MR for more detailed characterization. Many “mass-like” lesions decrease in size and conspicuity during the 3rd trimester and are asymptomatic and not visible or missed with only subtle changes on a postnatal chest radiograph. A 3–6-month postnatal CT or MR scan is often obtained to visualize the lesion and evaluate its features, size and extent and decide on surgical or conservative management. Lesions that are not diagnosed prenatally, dismissed or forgotten because of a normal appearing neonatal CXR or are managed conservatively or with partial surgical treatment (e.g. multiple lesions or incomplete resection) may be seen later in life either incidentally, in follow-up or with associated complications such as infection. Additionally, there are several acquired entities that can mimic or be mistaken for congenital lung anomalies. This poster will review and illustrate the late presentation of multiple congenital lung lesions beyond the neonatal period including bronchogenic cyst, lobar/segmental bronchial atresia and overinflation, CPAM, sequestration and hybrid CPAM/sequestration, several with clinical symptoms/complications as well as residual post-surgical lesions. Mimics of congenital lung lesions illustrated will include infectious acquired lobar overinflation, mediastinal lesion compressing airway causing lung/lobar overinflation and pneumonia with pneumatoceles mimicking infected CPAM. Read More

Meeting name: SPR 2025 Annual Meeting , 2025

Authors: Seekins Jayne, Newman Beverley

Keywords: Sequestration, Congenital Bronchopulmoary Malformation, Congenital Lobar Overinflation

Causes of paucity of bowel gas in the neonate abdomen can vary widely. This case series will review common and uncommon causes of paucity of bowel gas on abdominal radiography in the newborn as well as further imaging strategies to achieve a rapid diagnosis. Entities range from solid organ enlargement and masses as well as diseases of bowel origin. Evaluation of the most common causes of the lack of bowel gas with x-ray, ultrasound and fluoroscopy can lead to rapid diagnosis and treatment, especially if not prenatally diagnosed. This series will also discuss the utility of post-natal CT and/or MRI in select cases. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Seekins Jayne, Newman Beverly

Keywords: Paucity of bowel gas, Neonate, Abdomen