PMC2836177_01
Chest radiographs (a) at presentation in GUCH clinic and (b) after several weeks of antibiotic treatment. Right pulmonary venous obstruction is suggested by the presence of dilated venules, Kerley lines and fluid in the fissures, all more obvious after the consolidation was treated.
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fig1
Chest radiography showed a dense patchy consolidation of the right lower lobe, probably also involving the middle lobe (Figure 1). A diagnosis of obstructed right pulmonary venous drainage was made from the chest X-ray (Figure 1).
Contrast computerized tomography scan of the thorax showing right pulmonary venous obstruction (arrow), right lung consolidation and posterior pleural effusion.
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fig2
Computerised tomography scan cuts at the level of the heart and pulmonary vessels showed completely obstructed right pulmonary veins (Figure 2).
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