PMC4501522_01
a) CT coronal view, b) CT axial view.
gr1.jpg
PMC4501522_01_gr1.jpg
fig1
CT thorax (See Fig. 1) revealed extensive, dense consolidation of both lungs, bilateral hilar and subcarinal adenopathy, and centrilobular emphysema, but with no distant metastases evident.
a) Pre vascular plug, b) vascular plug profile, c) post.
gr2.jpg
PMC4501522_01_gr2.jpg
fig2
Subsequent embolisation of his right lower lobe pulmonary artery with an 18 mm Amplatzer vascular plug II device was then performed. (See Fig. 2) He improved clinically although the dramatic improvement in oxygenation was not sustained with SaO2 decreasing to 78-81% on 10 L O2 within 1 day.
VQ scan a) before and b) after procedure.
gr3.jpg
PMC4501522_01_gr3.jpg
fig3
However there was still flow to the superior and anterobasal segments of the right lower lobe. (See Fig. 3).