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CT of In Situ Vascular Stump Thrombosis After Pulmonary Resection for Cancer

Richard J. Wechsler1, Ana M. Salazar1, Angela J. Gessner1, Paul W. Spirn1, Rosita M. Shah1 and Robert M. Steiner1,2

1 Department of Radiology, Jefferson Medical College and Thomas Jefferson University Hospital, 111 S. 11th St., Ste. 3390 Gibbon, Philadelphia, PA 19107.
2 Present address: Weill Medical College of Cornell University and New York Presbyterian Hospital, 525 E. 68th St., New York, NY 10021.



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  		Fig. 1A. —72-year-old woman who underwent right middle and right lower lobectomies and radiation therapy for poorly differentiated adenocarcinoma. p = main pulmonary artery, a = ascending aorta, s = superior vena cava, and v = right pulmonary vein. Contiguous CT scans show thrombus (arrows) within right interlobar pulmonary artery stump. Pleuroparenchymal fibrosis and calcification are caused by irradiation.

 


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  		Fig. 1B. —72-year-old woman who underwent right middle and right lower lobectomies and radiation therapy for poorly differentiated adenocarcinoma. p = main pulmonary artery, a = ascending aorta, s = superior vena cava, and v = right pulmonary vein. Contiguous CT scans show thrombus (arrows) within right interlobar pulmonary artery stump. Pleuroparenchymal fibrosis and calcification are caused by irradiation.

 


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  		Fig. 1C. —72-year-old woman who underwent right middle and right lower lobectomies and radiation therapy for poorly differentiated adenocarcinoma. p = main pulmonary artery, a = ascending aorta, s = superior vena cava, and v = right pulmonary vein. CT scans obtained at 6-month follow-up show no interval change in size or extent of thrombus (arrows).

 


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  		Fig. 1D. —72-year-old woman who underwent right middle and right lower lobectomies and radiation therapy for poorly differentiated adenocarcinoma. p = main pulmonary artery, a = ascending aorta, s = superior vena cava, and v = right pulmonary vein. CT scans obtained at 6-month follow-up show no interval change in size or extent of thrombus (arrows).

 

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