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Recurrent Pulmonary Aneurysms
Sami M. Bennji, MD, Leonard du Preez, MD, Stephanie Griffith-Richards, MD, Derrick P. Smit, MD, Jonathan Rigby, MD, Coenraad F.N. Koegelenberg, MD, PhD, Elvis M. Irusen, MD, PhD, FCCP, Brian W. Allwood, MD, PhD CHEST Volume 152, Issue 5, Pages e99-e103 (November 2017) DOI: /j.chest Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 1 Color fundus photograph of the inferior retina of the right eye showing occluded blood vessel (arrow) with surrounding intraretinal hemorrhage. CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 2 A sagittal reconstruction of the chest CT angiogram showing the right pulmonary vessels with multiple pulmonary artery aneurysms (arrows). CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 3 Embolization of the right pulmonary aneurysms. Note the two pulmonary artery aneurysms (arrows), as well as the catheter inside one of the pulmonary arteries of the right lung. C = catheter; PA = pulmonary artery; R = right. CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 4 Chest CT angiogram showing a new large aneurysm in the right lower lobe with thrombus formation surrounding the aneurysm (arrows) giving rise to a heterogeneous appearance. CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 5 Doppler ultrasonogram showing large thrombus in the inferior vena cava (arrow) extending to the external iliac vein (A), with no Doppler flow (B), and the superficial femoral vein (arrow) (C). V = no Doppler flow; SFV = superficial femoral vein. CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 6 Chest CT angiogram performed after lobectomy showing enlarging pulmonary aneurysm in the right lung (arrow). CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 7 Positive pathergy test result demonstrating local inflammation and the formation of a pustule following minor skin trauma with a sterile needle (skin prick). CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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Figure 8 Chest CT angiogram performed after 6 months of treatment, showing complete resolution of pulmonary artery aneurysms. CHEST , e99-e103DOI: ( /j.chest ) Copyright © 2017 American College of Chest Physicians Terms and Conditions
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