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. 2021 May 27;3(3):e210026.
doi: 10.1148/ryct.2021210026. eCollection 2021 Jun.

Rasmussen Aneurysm

Affiliations

Rasmussen Aneurysm

Lucas de Pádua Gomes de Farias et al. Radiol Cardiothorac Imaging. .
No abstract available

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Conflict of interest statement

Disclosures of Conflicts of Interest: L.d.P.G.d.F. disclosed no relevant relationships. E.K.U.N.F. disclosed no relevant relationships. R.C. disclosed no relevant relationships. M.V.Y.S. disclosed no relevant relationships.

Figures

Images in a 63-year-old male patient in the emergency department due to
massive hemoptysis and a history of treated tuberculosis. CT angiographic images (A,
non–contrast material–enhanced axial; B, minimum intensity projection;
C, contrast-enhanced axial in soft-tissue reconstruction; D, contrast-enhanced axial
in lung reconstruction; E and F, three-dimensional reconstructions) show an opacity
with spontaneously hyperdense content (* in A, nonenhanced image) in the left
upper lobe superior lingular segment, compatible with hematoma, associated with
multiple locules of air, as seen in B. The administration of the contrast medium
revealed a 2.1-cm well-circumscribed aneurysm (white arrow in C, E, and F). D,
Multiple small ground-glass centrilobular nodules (white arrowheads) are seen around
the hematoma (*), likely related to endobronchial blood dissemination. G and
H, Images from pulmonary arteriography reveal the aneurysm (black arrow) originating
from branches of the left upper lobe superior lingular artery with active bleeding
(black arrowheads). Selective catheterization was performed, followed by coil
embolization. * indicates the hematoma in all images.
Images in a 63-year-old male patient in the emergency department due to massive hemoptysis and a history of treated tuberculosis. CT angiographic images (A, non–contrast material–enhanced axial; B, minimum intensity projection; C, contrast-enhanced axial in soft-tissue reconstruction; D, contrast-enhanced axial in lung reconstruction; E and F, three-dimensional reconstructions) show an opacity with spontaneously hyperdense content (* in A, nonenhanced image) in the left upper lobe superior lingular segment, compatible with hematoma, associated with multiple locules of air, as seen in B. The administration of the contrast medium revealed a 2.1-cm well-circumscribed aneurysm (white arrow in C, E, and F). D, Multiple small ground-glass centrilobular nodules (white arrowheads) are seen around the hematoma (*), likely related to endobronchial blood dissemination. G and H, Images from pulmonary arteriography reveal the aneurysm (black arrow) originating from branches of the left upper lobe superior lingular artery with active bleeding (black arrowheads). Selective catheterization was performed, followed by coil embolization. * indicates the hematoma in all images.

References

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    1. Guillaume B, Vendrell A, Stefanovic X, Thony F, Ferretti GR. Acquired pulmonary artery pseudoaneurysms: a pictorial review. Br J Radiol 2017;90(1073):20160783. - PMC - PubMed

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