Bordon Abraham, Weg Noah, Miller Raphael, Leb Jay, Sokol Seth I, Guelfguat Mark
Department of Radiology, Columbia Medical Center, 622 W 168th St, New York, NY 10032, USA.
Department of Radiology, Jacobi Medical Center, 1850 Seminole Ave, The Bronx, NY 10461, USA.
Curr Med Imaging. 2024;20:e15734056260968. doi: 10.2174/0115734056260968231031103630.
While pulmonary vein filling defects on CT are typically considered diagnostic for thrombus, under certain circumstances, they can be artifactual as a result of flow phenomena.
We report a case of a 53-year-old female with chest pain who was found to have filling defects in pulmonary vein branches on CCTA that were initially treated as thromboses. However, follow-up cardiac MRI was negative for thrombi, and pseudo-thrombosis was therefore diagnosed.
Pulmonary vein pseudo-thrombosis should be considered in the differential diagnosis of pulmonary vein filling defects.
虽然CT上的肺静脉充盈缺损通常被认为是血栓的诊断依据，但在某些情况下，由于血流现象，它们可能是假象。
我们报告一例53岁胸痛女性，其CCTA显示肺静脉分支有充盈缺损，最初被当作血栓治疗。然而，后续心脏MRI未发现血栓，因此诊断为假性血栓形成。
在肺静脉充盈缺损的鉴别诊断中应考虑肺静脉假性血栓形成。
