CT Evaluation of Pediatric Chest in Routine Practice

  • Marilyn J. Siegel


This chapter reviews the applications of computed tomography (CT) in the evaluation of common chest problems in children, in particular, mediastinal masses and congenital lung anomalies. Normal anatomy and anatomic variants and CT techniques are also discussed.


Mediastinal Mass Hereditary Hemorrhagic Telangiectasia Anterior Mediastinal Mass Scimitar Syndrome Soft Tissue Attenuation 
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  1. 1.
    Siegel MJ (2006) Pediatric applications. In: Lee KTL, Sagel SS, Stanley RJ, Heiken JP (eds) Computed body tomography with MRI correlation, 4th edn. Lippincott Williams & Wilkins, Philadelphia, PA, pp 1727–1791Google Scholar
  2. 2.
    Siegel MJ (2008) Mediastinum. In: Siegel MJ (ed) Pediatric body CT, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, PA, pp 33–67Google Scholar
  3. 3.
    Rigsby CK, Gasber E, Seshadri R et al (2007) Safety and efficacy of pressure-limited power injection of iodinated contrast medium through central lines in children. AJR Am J Roentgenol 188:726–732PubMedCrossRefGoogle Scholar
  4. 4.
    Siegel MJ (2003) CT angiography: optimizing contrast use in pediatric patients. Applied Radiol 2003:S38–S46Google Scholar
  5. 5.
    Fishman EK, Ney DR, Heath DG et al (2006) Volume rendering versus maximum intensity projection in CT angiography: what works best, when, and why. RadioGraphics 26:905–922PubMedCrossRefGoogle Scholar
  6. 6.
    Nishino M, Askiku SK, Kocher ON et al (2006) The thymus: a comprehensive review. RadioGraphics 26:335–348PubMedCrossRefGoogle Scholar
  7. 7.
    Krysta MM, Gorecki WJ, Miezynski WH (1998) Thymic tissue manifesting as a posterior mediastinal mass in two children. J Pediatr Surg 33:632–634PubMedCrossRefGoogle Scholar
  8. 8.
    Miller FH, Fitzgerald SW, Donaldson JS (1993) CT of the azygoesophageal recess in infants and children. RadioGraphics 13:623–634PubMedGoogle Scholar
  9. 9.
    Franco A, Mody NS, Meza MP (2005) Imaging evaluation of pediatric mediastinal masses. Radiol Clin North Am 43:325–353PubMedCrossRefGoogle Scholar
  10. 10.
    Hudson MM, Onciu M, Donaldson SS (2006) Hodgkin lymphoma. In: Pizzo PA, Poplack DG (eds) Principles and practice of pediatric oncology. Lippincott Williams & Wilkins, Philadelphia, PA, pp 695–721Google Scholar
  11. 11.
    Quillin SP, Siegel MJ (1992) CT features of benign and malignant teratomas in children. J Comput Assist Tomogr 16:723–726CrossRefGoogle Scholar
  12. 12.
    Rosado-de-Christenson ML, Templeton PA, Moran CA (1992) Mediastinal germ cell tumors: radiologic and pathologic correlation. RadioGraphics 12:1013–1030PubMedGoogle Scholar
  13. 13.
    Rosado-de-Christenson ML, Pugatch RD, Moran CA, Galobardes J (1994) Thymolipoma: analysis of 27 cases. Radiology 193:121–126PubMedGoogle Scholar
  14. 14.
    Tsuchiya T, Mori K, Ichikawa T et al (2003) Bronchopulmonary foregut malformation diagnosed by three-dimensional CT. Pediatr Radiol 33:887–889PubMedCrossRefGoogle Scholar
  15. 15.
    Hernanz-Schulman M (2005) Vascular rings: a practical approach to imaging diagnosis. Pediatr Radiol 35:961–979PubMedCrossRefGoogle Scholar
  16. 16.
    Siegel MJ (2011) Vascular rings and slings. In: Ho VB, Reddy GP (eds) Cardiovascular imaging. Elsevier, St. Louis, MO, pp 542–548Google Scholar
  17. 17.
    Siegel MJ (2008) Great vessels. In: Siegel MJ (ed) Pediatric body CT, 2nd ed. Lippincott Williams & Wilkins, Philadelphia, PA, pp 121–144Google Scholar
  18. 18.
    Daltro P, Fricke B, Kuroki L et al (2002) CT of congenital lung lesions in pediatric patients. AJR Am J Roentgenol 183:1497–1506CrossRefGoogle Scholar
  19. 19.
    Siegel MJ (2008) Lung, pleural and chest wall. In: Siegel MJ (ed) Pediatric body CT, 2nd ed. Lippincott Williams & Wilkins, Philadelphia, PA, pp 69–120Google Scholar
  20. 20.
    Kim WS, Lee KS, Kim IO et al (1997) Congenital cystic adenomatoid malformation of the lung: CT-pathologic correlation. AJR Am J Roentgenol 168:47–53PubMedCrossRefGoogle Scholar
  21. 21.
    Rosado-de-Christenson ML, Stocker JT (1991) Congenital cystic adenomatoid malformation. RadioGraphics 11:865–886PubMedGoogle Scholar
  22. 22.
    Al-Nakshabandi N, Lingawi S, Muller NL (2000) Congenital bronchial atresia. Can Assoc Radiol 51:47–48Google Scholar
  23. 23.
    Frazier AA, Rosado de Christenson ML, Stocker JT et al (1997) Intralobar sequestration: radiologic-pathologic correlation. RadioGraphics 17:725–745PubMedGoogle Scholar
  24. 24.
    Rosado-de-Christenson ML, Frazier AA, Stocker JT, Templeton PA (1993) Extralobar sequestration: radiologic-pathologic correlation. RadioGraphics 13:425–441PubMedGoogle Scholar
  25. 25.
    Franco J, Aliaga R, Domingo ML, Plaza P (1998) Diagnosis of pulmonary sequestration by spiral CT angiography. Thorax 53:1089–1092PubMedCrossRefGoogle Scholar
  26. 26.
    Ko SF, Ng SH, Lee TY et al (2000). Noninvasive imaging of bronchopulmonary sequestration. AJR Am J Roentgenol 175: 1005–1012PubMedCrossRefGoogle Scholar
  27. 27.
    Lee E, Siegel MJ, Foglia R (2004) Evaluation of angioarchitecture of pulmonary sequestration in pediatric patients using 3D MDCT angiography. AJR Am J Roentgenol 183: 183–188PubMedCrossRefGoogle Scholar
  28. 28.
    Konen E, Raviv-Zilka L, Cohen RA et al (2003) Congenital pulmonary venolobar syndrome: spectrum of helical CT findings with emphasis on computerized reformatting. RadioGraphics 23:1175–1184PubMedCrossRefGoogle Scholar
  29. 29.
    Hoffman LV, Kuszyk BS, Mitchell SE et al (2000) Angioarchitecture of pulmonary arteriovenous malformation: characterization using volume-rendered 3D CT angiography. Cardiovasc Intervent Radiol 23:165–170CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2011

Authors and Affiliations

  • Marilyn J. Siegel
    • 1
  1. 1.Mallinckrodt Institute of RadiologyWashington University School of MedicineSt. LouisUSA

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