PMC4899683_01
76-year-old male with rare pulmonary infarction. Repeat CT scan of liver shows hyperenhanced mass (arrow) located in upper left lobe near the dome of the liver.
gr1.jpg
PMC4899683_01_gr1.jpg
fig1
A CT scan incidentally revealed a large, confluent mass located in the left lobe of the liver measuring 8.4 cm x 12.9 cm, with heterogeneous attenuation and hypodense areas (Fig. 1).
76-year-old male with rare pulmonary infarction. Hepatic angiogram reveals hypervascularity of the HCC and extrahepatic collateral feeder vessel (superior epigastric artery, black arrow) supplying hepatic mass. Angiogram also reveals contrast filling in distal portion of pulmonary artery post-embolization (dotted black arrow). GDA coils are also seen from prior TACE operations (white arrow).
gr2.jpg
PMC4899683_01_gr2.jpg
fig2
HCC. However, it is difficult to know for sure because the patient received care at another facility before coming to our department (Fig. 2).
76-year-old male with rare pulmonary infarction. Following embolic injection of microspheres, hepatic angiogram shows diminished antegrade flow and reduced vascular filling (dotted arrows).
gr3.jpg
PMC4899683_01_gr3.jpg
fig3
One-half of a vial of 100-300 micron Embospheres (South Jordan, Utah) was injected until stasis to antegrade blood flow, and devascularization of the hepatic tumor was achieved (Fig. 3).
76-year-old male with rare pulmonary infarction. Chest X-ray image shows right lower lobar consolidation with hypervascular lung markings. The opaque mass (blue arrow) is clearly visible, with the distribution consistent with the lower lung zone.
gr4.jpg
PMC4899683_01_gr4.jpg
fig4
Chest X-ray revealed a round, opaque mass located in the right-lower-lung zone (Fig. 4).
76-year-old male with rare pulmonary infarction. Supplemental axial CT scan shows wedge-shaped infarct (arrow) that developed post-TACE. The distribution spans to the rib wall and pleura.
gr5.jpg
PMC4899683_01_gr5.jpg
fig5
A chest CT scan confirmed the same findings as the chest X-ray, revealing a wedge-shaped hyperdense mass in the right-lower lobe that was consistent with pulmonary infarction (Fig. 5).
76-year-old male with rare pulmonary infarction. Following treatment, CT scan 3 months later shows significant resolution of infarcted lung tissue (arrow).
gr6.jpg
PMC4899683_01_gr6.jpg
fig6
A chest CT scan was repeated three months later, which showed a substantial resolution of the lobar infarct (Fig. 6).