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Bronchial artery aneurysms

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Follow-up from respiratory clinic.

Patient Data

Age: 60 years
Gender: Female
ct

There is aneurysmal dilatation of the right bronchial artery just inferior to the carina. More distally, there is another smaller segment of aneurysmal dilatation.

The left superior bronchial artery arising from the medial aortic arch is also prominent without focal aneurysmal dilatation. The pulmonary arteries are unremarkable and there is no pulmonary embolism identified. No pulmonary arteriovenous malformation.

Atheromatous calcification of the aortic arch and mural thickening of the proximal left subclavian artery.

Case Discussion

No specific cause (e.g. pulmonary arteriovenous malformation or mediastinal malignancy) was identified on this CT. Other common causes include trauma (further history not available). 

Case courtesy: Dr Craig Hacking. 

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