Congenital Diaphragmatic Hernia vs. Cystic Adenomatoid Malformation of the Lung
Left picture: The radiological diagnosis is a congenital diaphragmatic hernia with displacement of intestinal loops which have been filled with air shortly after birth. Right picture: According to the operative and histological findings during the thoracotomy on the right side and the following examination of the resected lower lobe, the diagnosis is a cystic adenomatoid malformation. The history and the demonstrated chest x-ray in the picture at the bottom fit this diagnosis.
Left picture: 1-day-old neonate with RDS. No respiratory sounds can be auscultated over the left hemithorax. Lateral chest x-ray: The thoracic cavity is completely filled with annular shadows. Right picture: Newborn with RDS. Insertion of a drain because of pneumothorax of the right side. Following initial recovery from the respiratory signs, recurrent dyspnea. Chest x-ray in supine position at the age of 1 1/2 months (additional picture at the bottom): In the right middle and lower lung field there are multiple air-containing annular shadows of different sizes and striated opacities are present, while the mediastinum is shifted to the left side.