Cindy Renee Miller MD, Presenter: Nothing to Disclose

1. Complications of congenital disease may manifest in adulthood. 2. Congenital diseases may mimic acquired diseases. 3. Congenital diseases are no longer seen only in children due to improved treatments. 4. Treatment of congenital malformations may lead to confusing appearances on adult radiographs. 5. Knowledge that a patient has an underlying syndrome may allow for a narrower differential diagnosis of abnormalities.

I. Background II. Complications of congenital anomalies        a.  Malignancy within a CPAM        b. Malignancy within a colonic interposition used in the setting of esophageal atresia III. Congenital disease mimicking acquired disease         a. Job syndrome mimicking allergic bronchopulmonary malformation         b. Sequestration mimicking pneumonia        c.  Absent pulmonary artery and associated fibrosis mimicking interstitial lung disease IV. Congenital disease previously restricted to children, now seen in adults        a. Cystic fibrosis V. Confusing findings attributable to treatment of congenital malformations       a. Pacer lead position in patient with TGA post Mustard procedure VI. Knowledge of underlying syndrome allowing for narrowing of differential diagnosis       a. Solitary pulmonary nodule in patient with HHT = AVM      b. Paraspinous lesions in patient with neurofibromatosis = meningoceles  

http://abstract.rsna.org/uploads/2014/14018418/14018418_2w2n.pdf

Miller, C, Syndromes and Congenital Diseases: Attaching Relevance for the Adult Chest Radiologist to Information Long Forgotten.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018418.html