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Pulmonary Arteriovenous Malformation- Hereditary Hemorrhagic Telangiectasias

Harper SAH - MedPix (2005)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Arteriovenous Malformation- Hereditary Hemorrhagic Telangiectasias

History: 13 year old male presenting for routine visit noted to have oxygen saturation of 73%. The mother states his fingernails have always been bluish. He has had nosebleeds 2-3 times a month since age 2. Denies difficulty breathing or other respiratory symptoms. FHx: Father noted to have several telangiectasias on back and on oral mucosa.

Findings: CXR shows opacities present in both lungs. Several abnormal vasculature collections with dilated arterial supply and venous drainage. One in the right lung and three in the left lung of varying sizes.

Ddx: Metastatic disease Pulmonary arteriovenous malformations Granulomatous disease Pulmonary nodules

Dxhow: CT findings along with history and physical exam.

Exam: Vitals normal except for PO2 73% HR- regular, no murmurs Lungs- Clear bilaterally, no bruits, no wheezes Skin- several small spider like lesions on upper back, perioral cyanosis, clubbing of fingers. Labs: Hemoglobin/hematocrit= 17.8/53

No MeSH data available.


Multiple vasculature collections within the lung parenchyma with the same imaging characteristics as the pulmonary vasculature. There are dilated feeding arteries from the pulmonary arteries and dilated draining veins with communication to the pulmonary veins.
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MPX2154_synpic27451: Multiple vasculature collections within the lung parenchyma with the same imaging characteristics as the pulmonary vasculature. There are dilated feeding arteries from the pulmonary arteries and dilated draining veins with communication to the pulmonary veins.


Pulmonary Arteriovenous Malformation- Hereditary Hemorrhagic Telangiectasias

Harper SAH - MedPix (2005)

Multiple vasculature collections within the lung parenchyma with the same imaging characteristics as the pulmonary vasculature. There are dilated feeding arteries from the pulmonary arteries and dilated draining veins with communication to the pulmonary veins.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2154&req=5

MPX2154_synpic27451: Multiple vasculature collections within the lung parenchyma with the same imaging characteristics as the pulmonary vasculature. There are dilated feeding arteries from the pulmonary arteries and dilated draining veins with communication to the pulmonary veins.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Pulmonary Arteriovenous Malformation- Hereditary Hemorrhagic Telangiectasias

History: 13 year old male presenting for routine visit noted to have oxygen saturation of 73%. The mother states his fingernails have always been bluish. He has had nosebleeds 2-3 times a month since age 2. Denies difficulty breathing or other respiratory symptoms. FHx: Father noted to have several telangiectasias on back and on oral mucosa.

Findings: CXR shows opacities present in both lungs. Several abnormal vasculature collections with dilated arterial supply and venous drainage. One in the right lung and three in the left lung of varying sizes.

Ddx: Metastatic disease Pulmonary arteriovenous malformations Granulomatous disease Pulmonary nodules

Dxhow: CT findings along with history and physical exam.

Exam: Vitals normal except for PO2 73% HR- regular, no murmurs Lungs- Clear bilaterally, no bruits, no wheezes Skin- several small spider like lesions on upper back, perioral cyanosis, clubbing of fingers. Labs: Hemoglobin/hematocrit= 17.8/53

No MeSH data available.