AJR 2000; 175:853-854
© American Roentgen Ray Society
Vascular/Interventional Case of the Day |
Pablo Gamboa1,
Ricardo Barboza,
Dimitrios G. Spigos,
Rajul Shah,
Patrick Cestone,
Charles Mueller,
Kannan Natarajan,
Hooman Khabiri and
Stephen Jung
1
All authors: Department of Radiology, Division of Vascular and Interventional
Radiology, Ohio State University Medical Center, 1654 Upham Dr., Columbus, OH
43210-1250.
Address correspondence to P. Gamboa
Case I
A 53-year-old man presented with a 5-day history of progressive acute
abdominal pain. A CT examination of the abdomen with oral and IV contrast
material was
performed.
What is the diagnosis?
- Small-bowel obstruction.
- Mesenteric artery thrombosis with cavernous transformation of the portal
vein.
- Mesenteric vein thrombosis with cavernous transformation of the portal
vein.
Case 2
A 24-year-old woman with a known congenital cardiovascular abnormality
treated with anticoagulation for 3 years presented with new chest
pain.

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Fig. 2B. 24-year-old woman with known congenital cardiovascular abnormality
treated with anticoagulation for 3 years who presented with new chest pain.
Right posterior oblique perfusion lung scan.
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What is the cardiovascular abnormality?
- Williams syndrome.
- Pulmonary branch stenosis (supravalvular pulmonary stenosis).
- Swyer-James syndrome.
- Pulmonary valve stenosis.
Case 3
A 50-year-old woman, who smokes and has had multiple episodes of epistaxis,
presented with dyspnea, cyanosis, and digit clubbing.

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Fig. 3. 50-year-old woman, who smokes and has had multiple episodes of
epistaxis, who presented with dyspnea and digit clubbing. Chest radiograph
reveals lobulated mass in retrocardiac portion of left lower lobe.
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What is the diagnosis?
- Massive pulmonary embolus.
- Pulmonary arteriovenous malformation.
- Pulmonary artery aneurysm.
- Goodpasture's syndrome.
What complications can this condition give rise to?
- Hemoptysis.
- Brain abscess.
- Stroke.
- Dyspnea.
- All of the above.