PMC6395850_01
a & 1b: Chest CT demonstrating a filling defect within the confluence of left lower pulmonary vein at the junction with the left atrium seen on both chest/abdomen view (Fig. 1a) and lung view (Fig. 1b).
gr1.jpg
PMC6395850_01_gr1.jpg
fig1
Chest CT with contrast revealed left lower pulmonary vein thrombosis extending almost into the ostia draining the left atrial chamber (Fig. 1a and b) but no pulmonary artery embolism.
Chest CT 6 weeks later showing resolution of left lower lobe pulmonary vein thrombosis.
gr2.jpg
PMC6395850_01_gr2.jpg
fig2
Ab, SS-A/Ro Ab, SS-B/La Ab, Scl-70 scleroderma Ab, anti-smooth muscle Ab; D-dimer, lupus anticoagulant, LA sensitive aPTT, Dil Russell viper venom, protein C functional activity, free protein S antigen, functional protein S, total protein S, and factor V Leiden were unremarkable. A gated cardiac CT done 6 weeks after revealed interval resolution of left lower lobe pulmonary vein thrombosis without residual thrombus (Fig. 2).