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Tree-in-Bud Pattern in Neoplastic Pulmonary Emboli

Denis Tack1, Marie-Cécile Nollevaux2 and Pierre Alain Gevenois3

1 Department of Radiology, Centre Hospitalier Universitaire de Charleroi, 92 Blvd. Janson, B-6000 Charleroi, Belgium.
2 Department of Pathology, Cliniques Universitaires de Bruxelles, Hôpital Saint-Luc, 10 Ave. Hyppocrate, B-1200 Bruxelles, Belgium.
3 Department of Radiology, Hôpital Erasme, 808 Rte. de Lennik, B-1070 Brussels, Belgium.



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  		Fig. 1A. —31-year-old man with neoplastic pulmonary emboli from abdominal desmoplastic small round-cell tumor. CT scan obtained with 5-mm-thick collimation and photographed with lung window. Enlarged and beaded segmental and subsegmental pulmonary arteries (A) are seen in right middle and lower lobes. Tree-in-bud pattern is visible in peripheral zone of right middle lobe (arrow).

 


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  		Fig. 1B. —31-year-old man with neoplastic pulmonary emboli from abdominal desmoplastic small round-cell tumor. Photomicrograph of peripheral pulmonary arteries near pleural surface (arrowheads). Centrilobular arteries are filled with tumor cells (arrows).

 

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