CASE 46
Used with permission from Anderson Publishing Ltd. from Victoria T, et al: Fetal MRI of common non-CNS abnormalities: a review. Appl Radiol 2011; 40[6]8-17. © Anderson Publishing Ltd.
History: A patient presents with a fetal thoracic abnormality identified on an ultrasound examination performed at an outside institution.
1. What should be included in the differential diagnosis for a left-sided solid fetal chest mass? (Choose all that apply.)
A. Congenital diaphragmatic hernia (CDH) (stomach up)
C. Congenital cystic adenomatoid malformation (or congenital pulmonary airway malformation)
2. Which of the following statements concerning CDH is false?
A. CDH occurs most commonly on the left side.
B. CDH occurs on the right side in approximately 10% of cases.
D. CDH is usually a defect in the anterior portion of the diaphragm.
3. Which of the following statements concerning the prognosis of CDH is false?
A. A poor prognostic factor of CDH is the presence of the liver within the chest.
B. The amount of cardiac displacement has little prognostic implication for survival.
C. The presence of a small left cardiac ventricle is a poor prognostic factor.
D. Bilateral CDHs have a poor prognosis.
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