Pulmonary Behçet disease

Case contributed by Dr Ali Abougazia

Presentation

Known case of Behçet disease

Patient Data

Age: 27
Gender: Male
CT

• The main pulmonary artery and its major branches show wall thickening, best noted at the right pulmonary artery, with right common basal artery three saccular aneurysms with no thrombosis.
The left common common basal artery is occluded just distal to the superior segmental artery.
The right main pulmonary artery and its branches are seen well-opacified with no filling defects, occlusion or A-V malformation.

• A left lower lung lobe poseterolateral segment irregular cavitary lesion is seen measuring 6 X 4 cm in axial dimensions with thick regular wall.
Bilateral lower lobar reticular infiltrates are as well seen.

Case Discussion

Pulmonary arteritis, right common basal artery aneurysms, left common basal artery occlusion and lower lung lobe chronic abscess, mostly post infarct. Classic picture of Behçet disease.

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Case information

rID: 21928
Case created: 26th Feb 2013
Last edited: 4th Dec 2015
System: Chest
Inclusion in quiz mode: Included

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