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CXR shows multiple bilateral well defined pulmonary nodules and masses.
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CT sections of the lungs and mediastinal windows; alveolar infiltration in RUL associated with pulmonary masses and pleural effusion
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There was evidence of consolidation and alveolar infiltration around one of the nodules at the posterior segment of the right upper lobe (Figure 2A,B,C).
Bronchial artery angiography showing the common trunk of bronchial arteries. Bilateral fine vessels and abnormal blush coinciding with the location of metastatic nodule
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There were also fine vessels and abnormal blush along the right and left bronchial arteries coinciding with the location of metastatic pulmonary nodules in both lungs (Figure 3).
Pre embolization magnified view showing abnormal blush and fine vessels.
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A control arteriography was performed afterwards which showed embolization of all of the end branches of both bronchial arteries (Figure 4A,B).