Abnormal Fetal Thorax

Question 0

Right sided hernia

Answer 0

GB in chest

Mediastinal shift

Question 1

Congenital Diaphragmatic Hernia

Answer 1

Protrusion of ABD contents through defect in diaphragm. 90% post/lat to foramen of Bochdalek

Abd contents in chest,
Lack of Intra abd stomach
Peristalsis of bowel in chest
Malposition of ❤️

Pleural effusion, dec AC, polyhydramnios

Assoc with trisomy 18

Question 2

Congenital Cystic Adenomatoid Malformation /CCAM / camal/ CPAM / Adenomatoid hamartoma

Answer 2

Rare pulmonary lesion
Unilateral 1 lung
Cysts/Echogenic mass in lungs
Displaced ❤️
Ascites, pleural effusion, hydrops
Inverted diaphragm
Polyhydramnios
Inc thoracic circumference 

Type 1: macro cyst >2cm
Type 2: micro cyst (assoc with aneuploidy)
Type 3: echogenic, multiple small

Assoc: kidney, ❤️, GI

Question 3

Pulmonary Sequestration

Answer 3

Solid Nonfunctioning mass of lung tissue
Interlobar & Extralobar
Spherical/wedge shape Echogenic mass. Not well circumscribed
Polyhydramnios

*color Doppler shows separate blood supply from desc aorta

Question 4

Bronchogenic Cyst

Answer 4

Rare, unilocular/multilocular cyst in chest.
Does not displace ❤️
Close to mediastinum

Question 5

Pleural effusion

Answer 5

Fluid collection in chest surrounding lungs

Question 6

Pericardial teratoma

Answer 6

Rare chest tumor
Germ cell
Hetero ca+