PMC2810454_01
Chest X-ray showing a right middle lobe atelectasis, bilateral infiltrates, and mediastinal lymphadenopathy.
JO2009-579407.001.jpg
PMC2810454_01_JO2009-579407.001.jpg
fig1
A chest X-ray showed right middle lobe atelectasis and bilateral infiltrates (Figure 1).
CT arteriography at the carina showing occlusion of the right pulmonary artery due to external compression from a mass of 6.8 cm and atelectasis. No intraarterial thrombus is seen. Left pulmonary artery is nearly completely occluded from lymph node mass of 2.3 cm. Extensive mediastinal lymphadenopathy was also seen. Pleural effusions are also evident.
JO2009-579407.002.jpg
PMC2810454_01_JO2009-579407.002.jpg
fig2
CT angiography of pulmonary arteries showed absence of arterial thrombi in the vessels but confirmed extensive mediastinal and hilar lymphadenopathy obstructing and impeding blood flow in both pulmonary vessels (Figure 2).