Congenital Pulmonary Airway Malformation and Bronchial Atresia Hybrid Lesion
Imaging findings
Chest CT in a young adult smoker presenting with a pneumothorax shows a localized region of highly disorganized, cystic lung within the left upper lobe, with fluid- and debris-filled central bronchi that do not connect to the left main bronchus. The surrounding lung tissue is relatively normal, suggesting a hybrid congenital thoracic lesion with features of both bronchial atresia and congenital pulmonary airway malformation (CPAM), potentially exacerbated by smoking-related emphysema.
Key takeaways
Hybrid congenital pulmonary malformations can present in young adulthood with complex features of both bronchial atresia and CPAM. These lesions may first manifest clinically due to complications such as a pneumothorax or superimposed emphysematous changes.
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