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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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