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PICTORIAL CME
Year : 2018  |  Volume : 1  |  Issue : 1  |  Page : 42-43

Interesting chest skiagram


1 Dept. of Radiology, Apollo Hospitals, Greams Road, Chennai, India
2 Department of Respiratory Medicine, Apollo Hospitals, Greams Road, Chennai, India

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Case: A 19 year old female came with complaints of haemoptysis and right side chest pain for 3 years with history of ATT intake twice and h/o VATS guided biopsy from right hilar mass which was inconclusive . Chest radiograph : Non-homogenous opacity on the right hilar region. Bronchoscopy : only two segments in right upper lobe. CT Chest Angiogram: suggestive of intralobar pulmonary sequestration which had arterial supply from internal mammary artery and venous drainage into the right pulmonary vein . Angiogram: shows multiple feeders from right internal mammary artery supplying the sequestrated segment of lung. Treatment: Embolisation of two major feeding branches from right internal mammary artery done. Patient became asymptomatic.


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