EURORAD ESR

Case 14480

Isolated absence of the right pulmonary artery with advanced emphysema in the right lung.

Author(s)
Isabeau Hermie;
Geert Verswijfel

East Limburg Hospitals, 3600 Genk, Belgium ; isabeau.hermie@ugent.be
 
Patient
female, 54 year(s)
 
 
  • Figure 1
    Chest radiography

    Plain radiograph after pacemaker implantation revealed the absence of the right hilar shadow with diminished right pulmonary vascular markings, cardiac and mediastinal displacement to the right and loss of volume of...

     
    Area of Interest: Cardiovascular system; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Computed tomography pulmonary angiogram in mediastinal window settings.

    CTPA with soft window settings shows the abscene of the right main pulmonary artery. The right internal thoracic artery is enlarged.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    Computed tomography pulmonary angiogram in lung window settings.

    CTPA with lung window settings showing the advanced emphysematous changes and bronchiectasis in the right lung. The mediastinum is displaced to the right.

     
    Area of Interest: Thorax; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Chronic obstructive airways disease;
     
     
  • Figure 4
    Coronal MIP

    This coronal MIP shows the absent arterial pulmonary vasculature in the right lung with prominent venous structures. Very little collaterals are seen. The vasculature in the left lung is normal.

     
    Area of Interest: Cardiovascular system; Imaging Technique: CT-Angiography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Plain radiograph after pacemaker implantation revealed the absence of the right hilar shadow with diminished right pulmonary vascular markings, cardiac and mediastinal displacement to the right and loss of volume of the right lung.
 
CTPA with soft window settings shows the abscene of the right main pulmonary artery. The right internal thoracic artery is enlarged.
 
CTPA with lung window settings showing the advanced emphysematous changes and bronchiectasis in the right lung. The mediastinum is displaced to the right.
 
This coronal MIP shows the absent arterial pulmonary vasculature in the right lung with prominent venous structures. Very little collaterals are seen. The vasculature in the left lung is normal.
 
 
 
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