PMC4904537_01
(a) T1-weighted: coronal MRI imaging at 28-week gestation showing left pulmonary bronchopulmonary foregut malformation and herniated bowel in the left hemithorax and displacement of the cardiac structures to the right side. (b) T2-weighted: coronal MRI imaging at 28-week gestation showing left pulmonary bronchopulmonary foregut malformation and herniated bowel in the left hemithorax and displacement of the cardiac structures to the right side.
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fig1
Prenatal-MRI examination at 28-week and 2-day gestation (Figures 1(a) and 1(b)) confirmed a feeding vessel arising from the aorta into the centre of the pulmonary mass in keeping with systemic arterial supply.
Chest radiograph showing left diaphragmatic hernia and contralateral shift of the heart and mediastinum.
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Initial chest X-ray (Figure 2) demonstrates herniation of bowel loops into the left chest with mediastinal shift to the right.
Coronal postcontrast CT image showing bronchopulmonary sequestration in a left paraspinal location. Herniated bowel loops and the superior mesenteric artery are seen in the left hemithorax. A branch from coeliac artery is seen supplying spleen, which is located in the left lower paraspinal region.
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At eight days of life, a contrast-enhanced CT examination (Figures 3 and 4) was performed which confirmed systemic arterial blood supply to the pulmonary mass.
Coronal CT image showing feeding artery to sequestrated lung segment arising from the descending aorta and draining vein from the sequestration entering into left atrium.
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fig4
At eight days of life, a contrast-enhanced CT examination (Figures 3 and 4) was performed which confirmed systemic arterial blood supply to the pulmonary mass.
PMC4904537_02