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Congenital cystic adenomatoid malformation (CCAM) is a rare developmental lung abnormality, that typically manifests in neonates and infants but rarely in adults. Ultrasound is an important method of diagnosing CCAM in neonates and infants; however, few articles have reported the value of transthoracic lung ultrasound in the diagnosis of CCAM in adults. We present a case of a 34-year-old woman with a cavitary lesion in her left lower lobe, that suggested chronic inflammation. The patient underwent ultrasound examination and contrast-enh