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Imaging congenital lesions of the respiratory tract

General Infirmary at Leeds, Great George Street, Leeds, West Yorkshire LS1 3EX, UK

• Prenatal lung lesions generally have a good prognosis in the absence of hydrops.
  
• In infants presenting with stridor, congenital abnormalities such as tracheomalacia, tracheo-oesophageal fistula and vascular ring malformation must be considered.
  
• In older children with persistent chest symptoms and chest radiograph abnormality, underlying sequestration or cystic adenomatoid malformation must be excluded.
  
• Asymmetry of lung size and lucency are important observations that warrant follow-up with inspiratory and expiratory films. In older infants and children, foreign body aspiration must be excluded but lung hypoplasia and congenital lobar emphysema should be considered in the differential.
  

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