Pulmonary arteriovenous malformations - bilateral

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Cough.

Patient Data

Age: 50 years
Gender: Male

A 35×20mm well defined mass like lesion with homogenous enhancement is present at right middle lobe. A 20×15mm small one with similar appearance is noted at left lingular segment. 

Case Discussion

Features on CT scan are most consistent with pulmonary arteriovenous malformation (AVM).
The multiplicity of AVMs suggests hereditary hemorrhagic telangiectasia (HHT), also known as Osler-Weber-Rendu
 

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