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Current Medical Imaging

Editor-in-Chief

ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

Case Report

Another CCTA Incidental Finding: Case Report of an Idiopathic Pulmonary Vein Pseudo-thrombosis

Author(s): Abraham Bordon, Noah Weg, Raphael Miller*, Jay Leb, Seth I Sokol and Mark Guelfguat

Volume 20, 2024

Published on: 14 March, 2024

Article ID: e15734056260968 Pages: 6

DOI: 10.2174/0115734056260968231031103630

open_access

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.


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