The Teaching Point

A hybrid pulmonary sequestration (PMS) and congenital cystic adenomatoid malformation (CCAM) is a bronchopulmonary malformation that can be proficiently identified on a contrast enhanced CT scan. From this imaging modality the essential radiological description that is required for diagnosis includes the appreciation of an atypical artery supplying an abnormal territory of lung parenchyma that is noted to contain multiple cystic projections alongside a rudimentary bronchial tree.






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From the manuscript

Incidental finding - the discovery of a bronchopulmonary foregut malformation through investigations for Crohn`s disease

Free full text article: Incidental finding - the discovery of a bronchopulmonary foregut malformation through investigations for Crohn`s disease

Abstract
Pulmonary sequestration (PMS) is a rare bronchopulmonary malformation. It has an incidence of between 0.15% to 1.7%. Likewise, cystic adenomatoid malformation (CCAM) is another relatively rare category of a bronchopulmonary malformation with a reported incidence of between 1 in 25,000 to 1 in 35,000. Moreover, a bronchopulmonary malformation with features allied to both of these forms is considered an even rarer entity. In general, bronchopulmonary malformations present with a range of non-specific symptoms. Radiological features can be non-specific yet distinctive when related to clinical features. Ultimately, definitive diagnosis depends upon histological assessment of lung tissue. We present an adult female with radiological features of both pulmonary sequestration and cystic adenomatoid malformation. This was an incidental finding unrelated to the patients presenting complaint. This case highlights the importance of using a structured and systematic approach when interpreting medical imagery.






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