Pulmonary arteriovenous malformation

Case contributed by Prof Oliver Hennessy

Presentation

Incidental finding of right middle lobe mass on CXR

Patient Data

Age: 24
Gender: Female

 

In the right middle lobe a pulmonary arteriovenous malformation is demonstrated the nidus measuring 20 x 20 x 25 mm. It is fed by a single enlarged branch from the pulmonary artery and drains, via the lower pulmonary vein, into the left atrium. It appears to be an isolated abnormality, with the remainder of the lungs, pleura and mediastinum appearing normal. Limited views through the upper portions of the abdominal solid viscera appear unremarkable.

Conclusion: Right middle lobe arteriovenous malformation.

Case Discussion

Pulmonary AVM's may occur in isolation or be a manifestation of Osler's disease where innumerable AVM's are present in both lungs.

Small solitary lesions are often asymptomatic, larger lesions may present with some respiratory symptoms secondary to the shunt.

Paradoxical embolism may also be the first manifestation in some situations

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Case information

rID: 33690
Case created: 21st Jan 2015
Last edited: 8th Sep 2015
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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