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Pulmonary Infarction Resulting from Metastatic Osteogenic Sarcoma with Pulmonary Venous Tumor Thrombus

Erik Nelson1 and Jeffrey S. Klein

1 Both authors: Department of Radiology, Fletcher Allen Health Care and the University of Vermont College of Medicine, 111 Colchester Ave., Burlington, VT 05401.



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  		Fig. 1A. —29-year-old woman with metastatic osteogenic sarcoma that caused pulmonary venous thrombosis and infarction. CT scan shows calcified right lower lobe lesion with nodular soft-tissue density extending toward heart.

 


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  		Fig. 1B. —29-year-old woman with metastatic osteogenic sarcoma that caused pulmonary venous thrombosis and infarction. CT scan at level immediately above A shows dense calcification in mass. Note soft tissue that fills and expands right inferior pulmonary vein and extends into left atrium (arrow).

 


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  		Fig. 1C. —29-year-old woman with metastatic osteogenic sarcoma that caused pulmonary venous thrombosis and infarction. CT scan through lung bases photographed at lung windows shows two areas of consolidation within periphery of right costophrenic sulcus. Note associated pleural effusion representing pulmonary infarcts.

 


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  		Fig. 1D. —29-year-old woman with metastatic osteogenic sarcoma that caused pulmonary venous thrombosis and infarction. Axial T1-weighted spin-echo MR image reveals low-signal-intensity filling defect (arrow) in right inferior pulmonary vein that extends into left atrium.

 


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  		Fig. 1E. —29-year-old woman with metastatic osteogenic sarcoma that caused pulmonary venous thrombosis and infarction. Gadolinium-enhanced T1-weighted MR image shows enhancement of intraluminal mass representing tumor thrombus.

 

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