Volume 51, Issue 4, Pages (April 1967)

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Volume 51, Issue 4, Pages 441-449 (April 1967) A Case Report of Mediastinal Neurogenic Neoplasm Containing Arteriovenous Fistulas  LEE H. SHIELDS, M.D. F.C.C.P  Diseases of the Chest  Volume 51, Issue 4, Pages 441-449 (April 1967) DOI: 10.1378/chest.51.4.441 Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 1 PA view of the chest showing right intrathoracic mass. The superimposed granuloma cannot be seen. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 2 Right ventricular injection showing contrast media in right ventricle, pulmonary artery and right pulmonary artery. Branches of pulmonary artery end in saccular densities representing A-V fistulas. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 3 Aortic arch injection (arterial phase), showing enlarged tortuous internal mammary artery supplying tumor. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 4 Aortic arch injection (later arterial stage) showing internal mammary and intercostal arteries ending in peripheral saccular densities of A-V fistulas. The right base granuloma can be seen. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 5 Aortic arch injection (venous phase) showing numerous arteriovenous fistulas peripherally draining into tortuous enlarged veins. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions

FIGURE 6 Low power microscopic view showing several large blood vessels of arterial and venous type surrounded by tumor. Diseases of the Chest 1967 51, 441-449DOI: (10.1378/chest.51.4.441) Copyright © 1967 The American College of Chest Physicians Terms and Conditions