Tumor thrombus - right inferior pulmonary vein

Case contributed by Dr Chris O'Donnell

Presentation

History of esophageal carcinoma treated by Ivor Lewis esophagectomy. Staging CT. Asymptomatic.

Patient Data

Age: 70 years
Gender: Male

Expansile filling defect in the vein as well as an intra-thoracic stomach indicative of previous Ivor Lewis resection. Confirmed filling defect (arrow) in vein on oblique sagittal reconstruction

Case Discussion

An expansile mass in any pulmonary vessel is more likely to be tumor rather than thrombo-embolus but especially in a pulmonary vein. In this case, it appears to be a metastasis from esophageal malignancy although in most cases such an appearance is more likely to be a feature of locally advanced primary lung cancer.

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Case information

rID: 19120
Published: 7th Aug 2012
Last edited: 26th Sep 2019
System: Chest
Inclusion in quiz mode: Included

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