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Case report
Intrathoracic hybrid lesion: an incidental finding in a patient with PHACE syndrome
  1. Amy Hanson1,
  2. Yutaka Sato2 and
  3. Princy Ghera3
  1. 1 Pediatrics, University of Iowa, Roy J and Lucille A Carver College of Medicine, Iowa City, Iowa, USA
  2. 2 Radiology, University of Iowa, Iowa City, Iowa, USA
  3. 3 Pediatrics, University of Iowa, Iowa City, Iowa, USA
  1. Correspondence to Dr Amy Hanson; amyhanson5193{at}


Hybrid lesions (HLs) are unique, congenital lung malformations with both cystic and solid components and vascular supply consistent with bronchopulmonary sequestration. Increase of HLs reported in recent literature suggest a common pathological mechanism occurring during embryogenesis, leading to occurrence of both malformations within a single lesion. Due to the unusual nature of HLs, gold standard approach for diagnosis is not very well-defined in the literature. We report a novel case of a 3-year-old girl with posterior fossa anomalies-haemangioma-arterial lesions-coarctation of the aorta-eye anomalies syndrome, who was found, on CT angiography, to have a previously missed HL diagnosis which was confirmed after surgical resection.

  • paediatrics
  • congenital disorders
  • radiology
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  • Contributors AH was the primary author of the manuscript. She conducted the review of the patient’s chart and communicated with PG, her research mentor and the patient’s primary physician for the lung concerns. YS was the radiologist who read the patient’s imaging and helped AH to interpret the CT findings correctly. He also read the manuscript to ensure everything we were reporting/interpreting was accurate. PG helped to guide AH in the writing of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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