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Pulmonary Angiography: Multimedia

Author: Hearns W Charles, MD, Assistant Professor of Radiology, New York University School of Medicine; Attending Physician, Division of Vascular and Interventional Radiology, Department of Radiology, New York University Medical Center
Contributor Information and Disclosures

Updated: May 19, 2008

Multimedia

Pulmonary angiography. Ventilation-perfusion scin...Media file 1: Pulmonary angiography. Ventilation-perfusion scintigraphic scan of the lungs shows a partial ventilation-perfusion mismatch at the apex of the right lung.
Pulmonary angiography. Ventilation-perfusion scin...

Pulmonary angiography. Ventilation-perfusion scintigraphic scan of the lungs shows a partial ventilation-perfusion mismatch at the apex of the right lung.

Pulmonary angiography. Digital subtraction pulmon...Media file 2: Pulmonary angiography. Digital subtraction pulmonary angiogram shows splaying of the arterial branches of the right upper lobe and relative oligemia, which are consistent with emphysema (same patient as in Image 1). No pulmonary emboli are seen. Pulmonary arterial branches to the right lower lobe appear normal.
Pulmonary angiography. Digital subtraction pulmon...

Pulmonary angiography. Digital subtraction pulmonary angiogram shows splaying of the arterial branches of the right upper lobe and relative oligemia, which are consistent with emphysema (same patient as in Image 1). No pulmonary emboli are seen. Pulmonary arterial branches to the right lower lobe appear normal.

Pulmonary angiography. CT image obtained after th...Media file 3: Pulmonary angiography. CT image obtained after the intravenous administration of contrast material shows a large embolus at the distal aspect of the right pulmonary artery, with extension into its branches. Embolic disease is also present in the left pulmonary artery.
Pulmonary angiography. CT image obtained after th...

Pulmonary angiography. CT image obtained after the intravenous administration of contrast material shows a large embolus at the distal aspect of the right pulmonary artery, with extension into its branches. Embolic disease is also present in the left pulmonary artery.

Pulmonary angiography. CT image obtained by using...Media file 4: Pulmonary angiography. CT image obtained by using lung window settings at a more inferior level (same patient as in Image 3) shows a moderately sized area of high attenuation at the periphery of the superior segment of the right lower lobe. This is consistent with pulmonary infarction caused by pulmonary embolism. A small pleural effusion is also present on the right side.
Pulmonary angiography. CT image obtained by using...

Pulmonary angiography. CT image obtained by using lung window settings at a more inferior level (same patient as in Image 3) shows a moderately sized area of high attenuation at the periphery of the superior segment of the right lower lobe. This is consistent with pulmonary infarction caused by pulmonary embolism. A small pleural effusion is also present on the right side.

Pulmonary angiography. Maximum intensity projecti...Media file 5: Pulmonary angiography. Maximum intensity projection of a T1-weighted MRI acquired after the intravenous administration of contrast material shows a normal-appearing pulmonary arterial tree. The resolution is limited to the third- and fourth-order branches.
Pulmonary angiography. Maximum intensity projecti...

Pulmonary angiography. Maximum intensity projection of a T1-weighted MRI acquired after the intravenous administration of contrast material shows a normal-appearing pulmonary arterial tree. The resolution is limited to the third- and fourth-order branches.

Pulmonary angiography. Digital subtraction pulmon...Media file 6: Pulmonary angiography. Digital subtraction pulmonary angiogram of the right lung shows that all other branches are truncated and pruning, without normal peripheral branching. The pulmonary arterial pressure was elevated in the patient. These findings can be found with chronic pulmonary embolism with resultant pulmonary arterial hypertension. The normal appearance of the branches to the right upper lobe suggests sparing of the vessels of recurrent embolic disease, most likely due to gravity.
Pulmonary angiography. Digital subtraction pulmon...

Pulmonary angiography. Digital subtraction pulmonary angiogram of the right lung shows that all other branches are truncated and pruning, without normal peripheral branching. The pulmonary arterial pressure was elevated in the patient. These findings can be found with chronic pulmonary embolism with resultant pulmonary arterial hypertension. The normal appearance of the branches to the right upper lobe suggests sparing of the vessels of recurrent embolic disease, most likely due to gravity.

Pulmonary angiography. Right pulmonary angiogram ...Media file 7: Pulmonary angiography. Right pulmonary angiogram shows an arterial branch in the right lower lobe that leads into a focal dilated vascular nidus at the periphery of the lung.
Pulmonary angiography. Right pulmonary angiogram ...

Pulmonary angiography. Right pulmonary angiogram shows an arterial branch in the right lower lobe that leads into a focal dilated vascular nidus at the periphery of the lung.

Pulmonary angiography. Venous phase of a right pu...Media file 8: Pulmonary angiography. Venous phase of a right pulmonary angiogram. The vascular nidus drains into a normal-appearing pulmonary vein of the right lower lobe. These findings are consistent with a pulmonary arteriovenous malformation.
Pulmonary angiography. Venous phase of a right pu...

Pulmonary angiography. Venous phase of a right pulmonary angiogram. The vascular nidus drains into a normal-appearing pulmonary vein of the right lower lobe. These findings are consistent with a pulmonary arteriovenous malformation.

Pulmonary angiography. Image obtained after succe...Media file 9: Pulmonary angiography. Image obtained after successful embolization of the arterial branch leading to the pulmonary arteriovenous malformation performed by using multiple coils. The dilated vascular nidus is no longer opacified. Arterial flow to other normal areas of the right lower lobe is preserved.
Pulmonary angiography. Image obtained after succe...

Pulmonary angiography. Image obtained after successful embolization of the arterial branch leading to the pulmonary arteriovenous malformation performed by using multiple coils. The dilated vascular nidus is no longer opacified. Arterial flow to other normal areas of the right lower lobe is preserved.

Pulmonary angiography. CT image in a 24-year old ...Media file 10: Pulmonary angiography. CT image in a 24-year old man with recurrent hemoptysis shows an abnormally enlarged vascular structure intertwined with the left pulmonary artery. This was suspected to be a pulmonary varix.
Pulmonary angiography. CT image in a 24-year old ...

Pulmonary angiography. CT image in a 24-year old man with recurrent hemoptysis shows an abnormally enlarged vascular structure intertwined with the left pulmonary artery. This was suspected to be a pulmonary varix.

Pulmonary angiography. A more inferior image in t...Media file 11: Pulmonary angiography. A more inferior image in the same patient as in Image 10 shows the dilated vascular structure between the aorta and the left atrium.
Pulmonary angiography. A more inferior image in t...

Pulmonary angiography. A more inferior image in the same patient as in Image 10 shows the dilated vascular structure between the aorta and the left atrium.

Pulmonary angiography. Left pulmonary angiogram w...Media file 12: Pulmonary angiography. Left pulmonary angiogram was obtained in a 24-year old man with recurrent hemoptysis to verify a possible pulmonary varix, as suggested on the CT scan (same patient as in Images 10-11). The image shows no major pulmonary arterial branch to the base of the left lung; this finding is suggestive of alternate aberrant arterial supply.
Pulmonary angiography. Left pulmonary angiogram w...

Pulmonary angiography. Left pulmonary angiogram was obtained in a 24-year old man with recurrent hemoptysis to verify a possible pulmonary varix, as suggested on the CT scan (same patient as in Images 10-11). The image shows no major pulmonary arterial branch to the base of the left lung; this finding is suggestive of alternate aberrant arterial supply.

Pulmonary angiography. Selective catheterization ...Media file 13: Pulmonary angiography. Selective catheterization and contrast material injection into an abnormal branch of the descending thoracic aorta shows an enlarged systemic arterial supply to the lower lobe of the left lung. This is consistent with bronchopulmonary sequestration.
Pulmonary angiography. Selective catheterization ...

Pulmonary angiography. Selective catheterization and contrast material injection into an abnormal branch of the descending thoracic aorta shows an enlarged systemic arterial supply to the lower lobe of the left lung. This is consistent with bronchopulmonary sequestration.

Pulmonary angiography. Venous phase angiographic ...Media file 14: Pulmonary angiography. Venous phase angiographic image shows venous drainage of the sequestration directly into the left atrium of the heart (same patient as in Image 13).
Pulmonary angiography. Venous phase angiographic ...

Pulmonary angiography. Venous phase angiographic image shows venous drainage of the sequestration directly into the left atrium of the heart (same patient as in Image 13).

Pulmonary angiography. Chest radiograph shows mar...Media file 15: Pulmonary angiography. Chest radiograph shows markedly dilated central pulmonary arteries. The size of the heart is normal. Emphysema is evident at the middle and upper parts of the left lung and, to a lesser extent, in the right upper lobe.
Pulmonary angiography. Chest radiograph shows mar...

Pulmonary angiography. Chest radiograph shows markedly dilated central pulmonary arteries. The size of the heart is normal. Emphysema is evident at the middle and upper parts of the left lung and, to a lesser extent, in the right upper lobe.

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References

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Further Reading

Keywords

pulmonary angiography, lung scintigraphy, conventional pulmonary angiography, digital subtraction pulmonary angiography, DSPA, pulmonary computed tomography angiography, PCTA, pulmonary magnetic resonance angiography, PMRA, pulmonary angiograms, CT pulmonary angiography, magnetic resonance venography

Contributor Information and Disclosures

Author

Hearns W Charles, MD, Assistant Professor of Radiology, New York University School of Medicine; Attending Physician, Division of Vascular and Interventional Radiology, Department of Radiology, New York University Medical Center
Hearns W Charles, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Radiological Society of North America, and Society of Cardiovascular and Interventional Radiology
Disclosure: Nothing to disclose.

Medical Editor

Anthony Watkinson, MD, Professor of Interventional Radiology, The Peninsula Medical School; Consultant and Senior Lecturer, Department of Radiology, The Royal Devon and Exeter Hospital, UK
Anthony Watkinson, MD is a member of the following medical societies: Radiological Society of North America, Royal College of Radiologists, and Royal College of Surgeons of England
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

George Hartnell, MB, Professor of Radiology, Tufts University School of Medicine, Director of Cardiovascular and Interventional Radiology, Department of Radiology, Baystate Medical Center
George Hartnell, MB is a member of the following medical societies: American College of Cardiology, American College of Radiology, American Heart Association, Association of University Radiologists, British Institute of Radiology, British Medical Association, Massachusetts Medical Society, Radiological Society of North America, Royal College of Physicians, Royal College of Radiologists, and Society of Cardiovascular and Interventional Radiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Kyung J Cho, MD, FACR, William Martel Professor of Radiology, Interventional Radiology Fellowship Director, University of Michigan Health System
Kyung J Cho, MD, FACR is a member of the following medical societies: American College of Radiology, American Heart Association, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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