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Bilateral congenital pulmonary airway malformation in an extremely preterm infant
  1. Preethi Chandrasekaran1,
  2. Stacy Goergen2,
  3. Alice Robinson3,
  4. Ali Moghimi4 and
  5. Atul Malhotra1,5
  1. 1Monash Newborn, Monash Children's Hospital, Clayton, Victoria, Australia
  2. 2Monash Imaging, Monash Health, Clayton, Victoria, Australia
  3. 3Fetal Diagnostic Unit, Monash Health, Clayton, Victoria, Australia
  4. 4Department of Anatomical Pathology, Monash Health, Clayton, Victoria, Australia
  5. 5Department of Paediatrics, Monash University, Clayton, Victoria, Australia
  1. Correspondence to Dr Atul Malhotra; atul.malhotra{at}


We present the case of a baby boy, with antenatal finding of bilateral enlarged echogenic lungs, who developed severe postnatal respiratory failure. Two important differential diagnoses, which have an impact on antenatal and postnatal management, are discussed. Fetal ultrasound, MRI and postmortem MRI images are presented and findings correlated with the autopsy findings.

  • neonatal intensive care
  • congenital disorders

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  • Contributors All authors have contributed to this report, were involved in the patient’s care and approved the final version of manuscript. PC: compilation of case data and first draft of the manuscript. SG: fetal MRI and postmortem MRI. AR: fetal ultrasound. AMo: anatomical pathology. AMa: neonatology, parental consent and reflection.

  • 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.

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