case_images: PMC10370641_01
case_images: PMC10370641_02
case_images: (
  A
  ) After birth, the thoracic dressing placed at the exit site of the displaced thoraco-amniotic shunt started to inflate, hinting an open connection to the airways. (
  B
  ) Computed tomography (CT) scan and (
  C
  ) three-dimensional (3D) reconstruction performed at birth: multiple residual cystic lesions (
  highlighted in green
  in the 3D reconstruction) and severe left mediastinal shift.
case_images: 10-1055-a-2107-0409-i2022040653cr-1.jpg
case_images: PMC10370641_02_10-1055-a-2107-0409-i2022040653cr-1.jpg
case_images: FI2022040653cr-1
case_images: Three-dimensional (3D) reconstruction allowed us to better define the lesion's features ( Fig. 1B, C ).
case_images: PMC10370641_03
case_images: PMC10370641_04
case_images: (
  A
  ) The pleural cavity is occupied by multiple pleural adhesions, probably a consequence of the prenatal thoraco-amniotic shunt (TAS) positioning. (
  B
  ) The inferior lobe is completely replaced by multiple giant cysts. (
  C
  ) The middle and superior lobes, even if compressed and with atelectasis areas, appear macroscopically unaffected.
case_images: 10-1055-a-2107-0409-i2022040653cr-2.jpg
case_images: PMC10370641_04_10-1055-a-2107-0409-i2022040653cr-2.jpg
case_images: FI2022040653cr-2
case_images: The inferior lobe was completely replaced by multiple giant cysts ( Fig. 2B ), while the middle and superior lobes appeared macroscopically unaffected ( Fig. 2C ). The bigger cysts were decompressed with the 3-mm JustRight sealer (Bolder
case_images: PMC10370641_05