Congenital pulmonary airway malformation

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[size=20px]A 20 week old fetus is diagnosed with macrocystic CPAM (dominant cyst) with CVR of 1.2. The screening ultrasound did not show any evidence of fetal hydrops or polyhydramnios. At 24 weeks, CVR was calculated at 1.8 and there is evidence of ascites, pleural effusion, and pericardial effusion. The best next step for this fetus with CPAM is A Immediate induction to natural delivery B Placement of thoracoamniotic shunt C Immediate EXIT procedure D Repeat ultrasound at 28 weeks E Administration of maternal steroids[/size]

A baby boy with a prenatally diagnosed left lung congenital pulmonary airway malformation is asymptomatic at birth and has a normal chest x-ray prior to hospital discharge on the 2nd day of life. A CT scan at 4 months of age reveals a cystic mass with a systemic arterial supply. He has remained asymptomatic. What is your recommendation?

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please write the answer and your justification, correct answer will be submitted after 48 hrs [size=20px]You are asked to see a prenatal consult for a 26-week fetus with a thoracic mass found on screening ultrasound. The lesion is on the left and in the region of the lower lobe. The lesion is solid without obvious cysts. There is a feeding vessel from the aorta. Mediastinal shift is noted. There is no evidence of pleural effusion and the CVR is 1.2. What is the next appropriate step in the management of this mother? A placement of thoracoamniotic shunt B serial fetal ultrasounds C administer maternal steroids D immediate fetal surgery for resection of th…

[size=20px]A 27 year-old woman presents for a prenatal consult. Prenatal ultrasound at 22 weeks gestation shows a single male fetus with a cystic lung lesion compatible with a congenital pulmonary airway malformation (CPAM). Her initial CPAM volume ratio (CVR) is 1.7. There are no signs of hydrops. What is the risk of the fetus developing hydrops or postnatal respiratory distress? A Low risk, consider routine delivery at a community center B Moderate risk, plan for delivery at tertiary care (level III) center C Moderate risk, consider referral to a fetal center and/or prenatal steroids​ D High risk, consider referral to a fetal center and/or prenatal steroids​…

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