Radiological Case of the Month | Radiology | JAMA Pediatrics | JAMA Network
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June 1999

Radiological Case of the Month

Author Affiliations

From the Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland.



Arch Pediatr Adolesc Med. 1999;153(6):645. doi:10.1001/archpedi.153.6.645

A FEMALE INFANT was born at 37.5 weeks' gestation, after an uneventful antenatal period and delivery. The Apgar scores were 6 and 8 at 1 and 5 minutes, respectively. Her birth weight was 3.3 kg. Thirty minutes after delivery she was noted to be tachypneic and hypothermic. Auscultation of her chest revealed decreased breath sounds on the right side. A chest radiograph was performed after transfer to the neonatal intensive care unit (Figure 1). An echocardiogram revealed a patent ductus arteriosus and a patent foramen ovale. A 4 × 4-cm cystic lesion was noted in the right hemithorax and extending posteriorly and inferiorly. A magnetic resonance imaging scan was performed on day 6 (Figure 2, Figure 3, and Figure 4).