Literature DB >> 11058643

Bronchogenic cyst: imaging features with clinical and histopathologic correlation.

H P McAdams1, W M Kirejczyk, M L Rosado-de-Christenson, S Matsumoto.   

Abstract

PURPOSE: To characterize the imaging features of bronchogenic cysts.
MATERIALS AND METHODS: The computed tomographic (CT) and/or magnetic resonance (MR) or ultrasonographic images in 68 histopathologically proved cases of bronchogenic cyst in 38 male and 30 female patients, aged newborn to 72 years (mean, 22 years), were retrospectively reviewed.
RESULTS: There were 58 mediastinal and 10 extramediastinal cysts. At CT (n = 62), 60 cysts were sharply marginated with smooth (n = 35) or lobulated (n = 25) borders. Twenty-five cysts were of water attenuation, 25 were of soft-tissue attenuation, two were air filled, two had an air-fluid level, and two had dependent milk of calcium. On T1-weighted MR images (n = 23), 18 cysts were hyperintense and five were isointense to cerebrospinal fluid. On T2-weighted MR images (n = 18), 17 cysts were isointense or hyperintense to cerebrospinal fluid. Of the 25 soft-tissue-attenuation lesions at CT, 11 appeared cystic because of internal homogeneity, lack of internal enhancement, mural enhancement, and characteristic location. Fourteen appeared solid based on morphology and attenuation. MR imaging of nine of the latter showed marked hyperintensity on T2-weighted images.
CONCLUSION: CT of bronchogenic cysts typically shows sharply marginated mediastinal masses of soft-tissue or water attenuation. Most appear cystic. A minority appear solid and can be confused with other lesions; MR imaging can be useful for elucidating the cystic nature of these lesions.

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Year:  2000        PMID: 11058643     DOI: 10.1148/radiology.217.2.r00nv19441

Source DB:  PubMed          Journal:  Radiology        ISSN: 0033-8419            Impact factor:   11.105


  88 in total

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9.  Pulmonary congenital cystic disease in adults. Spiral computed tomography findings with pathologic correlation and management.

Authors:  M Scialpi; S Cappabianca; A Rotondo; G B Scalera; F Barberini; L Cagini; S Donato; L Brunese; I Piscioli; L Lupattelli
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10.  Atypical lung parenchymal bronchogenic cyst complicated by tuberculosis infection.

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Journal:  Can Respir J       Date:  2012 Sep-Oct       Impact factor: 2.409

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