Bronchial Artery Dilatation on MDCT Scans of Patients with Acute Pulmonary Embolism: Comparison with Chronic or Recurrent Pulmonary Embolism
Ichiro Hasegawa1,2,
Phillip M. Boiselle1 and
Hiroto Hatabu1
1 Department of Radiology, Beth Israel Deaconess Medical Center and Harvard
Medical School, Boston, MA 02215.
2 Present address: Department of Diagnostic Radiology, School of Medicine, Keio
University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.

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Fig. 1A. 37-year-old woman with acute pulmonary embolus and known
pelvic deep venous thrombosis who presented with pleuritic chest pain. MDCT
pulmonary angiogram shows filling defect (arrow) in right inferior
pulmonary artery.
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Fig. 1B. 37-year-old woman with acute pulmonary embolus and known
pelvic deep venous thrombosis who presented with pleuritic chest pain. Axial
MDCT scan obtained at level of aortic arch shows dilatation (arrow)
of right bronchial artery.
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Fig. 1C. 37-year-old woman with acute pulmonary embolus and known
pelvic deep venous thrombosis who presented with pleuritic chest pain. Axial
MDCT scan obtained at level of carina shows dilatation (arrows) of
left bronchial arteries.
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Fig. 2A. 52-year-old man with acute pulmonary embolus who presented
with shortness of breath and chest pain. MDCT pulmonary angiogram shows
filling defects (arrows) in pulmonary arteries of both upper
lobes.
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Fig. 2B. 52-year-old man with acute pulmonary embolus who presented
with shortness of breath and chest pain. Axial MDCT scan obtained at level of
aortic arch shows undilated right bronchial artery (arrow) adjacent
to posterior wall of carina.
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Fig. 2C. 52-year-old man with acute pulmonary embolus who presented
with shortness of breath and chest pain. Axial MDCT scan shows left bronchial
arteries (arrows) without dilatation.
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Fig. 3A. 72-year-old man with chronic pulmonary embolus and history of
recurrent deep venous thrombosis and pulmonary embolism who presented with
chest pain. MDCT pulmonary angiogram shows filling defects (arrows)
in both inferior pulmonary arteries.
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Fig. 3B. 72-year-old man with chronic pulmonary embolus and history of
recurrent deep venous thrombosis and pulmonary embolism who presented with
chest pain. Axial MDCT scan obtained at level of aortic arch shows dilatation
of right bronchial arteries (arrows).
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Fig. 3C. 72-year-old man with chronic pulmonary embolus and history of
recurrent deep venous thrombosis and pulmonary embolism who presented with
chest pain. Axial MDCT scan shows dilatation of left bronchial artery
(arrow).
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Copyright © 2004 by the American Roentgen Ray Society.