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AJR 2005; 184:663-670
© American Roentgen Ray Society

Original Report

CT of Hemangiomas of the Upper Airways in Children

Benjamin Z. Koplewitz1, Chaim Springer2, Benjamin S. Slasky1, Avraham Avital2, Kammal Uwyyed2, Elie Piccard3 and Jacob Bar-Ziv1

1 Department of Radiology, Hadassah-Hebrew University Medical Center, PO Box 12000, Jerusalem 91120, Israel.
2 Institute of Pulmonology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel.
3 Division of Pediatric Pulmonology, Shaare-Zedek Medical Center, Jerusalem, Israel.

OBJECTIVE. Hemangiomas of the airways in infants are commonly diagnosed at bronchoscopy performed for the investigation of stridor or other respiratory symptoms. Occasionally on bronchoscopy the appearances are atypical or the entire extent of the suspected hemangioma cannot be appreciated. We report on the clinical usefulness of dynamic contrast-enhanced CT in the evaluation of suspected hemangiomas of the airways in infants. CT findings of 11 infants who underwent investigation for a suspected airway hemangioma were correlated with bronchoscopic findings.

CONCLUSION. Dynamic contrast-enhanced CT is a valuable noninvasive method for the evaluation of airway hemangiomas. Although it can be used to confirm the diagnosis in patients with equivocal findings on bronchoscopy, we believe that CT findings are specific enough that CT can be recommended as the primary method of establishing the diagnosis. Multiplanar reconstructions illustrate the location, extent, and degree of luminal narrowing and any involvement of adjacent tissues.


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