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להצטרפות לרשימת התפוצה הכנס את כתובת הדואר האלקטרוני שלך:
 


 

Fetal Mediastinal Shift

 

 
·         Diaphragmatic hernia-May contain abdominal viscera, e.g. bowel peristalsis.

 

 

 

·         Cystic adenomatoid malformation-

 

 

 

·         Diaphragmatic eventration- Abdominal viscera may be seen in the thorax by US. Diagnosis requires visualization of the diaphragm. The abdominal circumference usually remains normal.
 

 

 

 

·         Unilateral pleural effusion-US shows anechoic fluid surrounding a lung and displacing the mediastinum. The heart may appear smaller than normal. Large effusions may evert the diaphragm.

 

 

 

·         Unilateral lung hypoplasia-Search should be made for associated anomalies causing external pressure on the developing lung.
 

 

 

 

·         Bronchogenic cyst- These may be intrapulmonary or mediastinal in location and often closely related to the trachea or mainstem bronchi. US appearances may be those of a unilocular or multilocular cyst. There is an association with hemivertebrae.

 

 

 

·         Neuroenteric cyst-Associated with vertebral abnormalities. Sonography typically shows a unilocular, thin walled cyst, although muftilocular cysts have been described. The diagnosis is suggested by the position of the cyst adjacent to the bowel and spine.
 

 

 

 

·         Bronchial atresia-The affected lung may appear normal at midpregnancy; later examinations may show an abnormally echogenic lung with anechoic, dilated, mucus-filled bronchi. Mucus retention and lobar or pulmonary enlargement may cause mediastinal shift.

 

 

 

·         Esophageal duplication cyst-Seen as focal fluid collections adjacent to the esophagus. Communication with the esophageal lumen is uncommon and allows the cyst to collapse. Associated anomalies are also uncommon.

 
 

Back to Fetal Thorax

 
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