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[size=20px]A 3 month-old term infant was diagnosed prenatally with a congenital lung lesion. She had no respiratory issues postnatally and remains well. She recently underwent a CT scan of the chest and is in your clinic to review the results. Which features on history and imaging are associated with an increased risk of malignancy?

 

A Size less than 3 cm

 

B Macrocystic lung lesion

 

C Prenatal detection

 

D Presence of a systemic feeding vessel

 

E All of the above​[/size]

  • Author

correct answer

B Macrocystic lung lesion

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Large, macrocystic congenital lung lesions are more likely to be malignant than those that are microcystic. Lesions that are small, asymptomatic, detected prenatally, or have a feeding vessel are more likely to be benign.

 

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