Abstract
Introduction: While pulmonary vein filling defects on CT are typically considered diagnostic for thrombus, under certain circumstances, they can be artifactual as a result of flow phenomena.
Case Presentation: We report a case of a 53-year-old female with chest pain who was found to have filling defects in pulmonary vein branches on CCTA that were initially treated as thromboses. However, follow-up cardiac MRI was negative for thrombi, and pseudo-thrombosis was therefore diagnosed.
Conclusion: Pulmonary vein pseudo-thrombosis should be considered in the differential diagnosis of pulmonary vein filling defects.
Keywords: Coronary CT angiogram, MRI, Thrombus, Filling defect, Pseudo-thrombosis, Incidental finding.
Current Medical Imaging
Title:Another CCTA Incidental Finding: Case Report of an Idiopathic Pulmonary Vein Pseudo-thrombosis
Volume: 20
Author(s): Abraham Bordon, Noah Weg, Raphael Miller*, Jay Leb, Seth I Sokol and Mark Guelfguat
Affiliation:
- Department of Radiology, Jacobi Medical Center, 1850 Seminole Ave, The Bronx, NY 10461, USA
Keywords: Coronary CT angiogram, MRI, Thrombus, Filling defect, Pseudo-thrombosis, Incidental finding.
Abstract:
Introduction: While pulmonary vein filling defects on CT are typically considered diagnostic for thrombus, under certain circumstances, they can be artifactual as a result of flow phenomena.
Case Presentation: We report a case of a 53-year-old female with chest pain who was found to have filling defects in pulmonary vein branches on CCTA that were initially treated as thromboses. However, follow-up cardiac MRI was negative for thrombi, and pseudo-thrombosis was therefore diagnosed.
Conclusion: Pulmonary vein pseudo-thrombosis should be considered in the differential diagnosis of pulmonary vein filling defects.
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Cite this article as:
Bordon Abraham, Weg Noah, Miller Raphael*, Leb Jay, Sokol I Seth and Guelfguat Mark, Another CCTA Incidental Finding: Case Report of an Idiopathic Pulmonary Vein Pseudo-thrombosis, Current Medical Imaging 2024; 20 : e15734056260968 . https://dx.doi.org/10.2174/0115734056260968231031103630
DOI https://dx.doi.org/10.2174/0115734056260968231031103630 |
Print ISSN 1573-4056 |
Publisher Name Bentham Science Publisher |
Online ISSN 1875-6603 |
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