PMC5671398_01
Contrast enhanced CT of the upper chest reveals large area of consolidation in the apicoposterior segment of the left upper lobe with air bronchograms and small foci of cavitation.
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Dense consolidation in the apicoposterior and lingular segments of the left upper lobe-probably secondary to pulmonary hemorrhage and thick-walled cavities in the apical segment of left upper lobe were also noted. (Fig. 1 & Fig. 2).
Selective upper left intercostal trunk catheter injection with a Mikaelson catheter showing systemic pericavitary vascular inflammatory changes along with the opacification of the Rassmussen's aneurysm located in the vicinity of the left upper lobe cavity.
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Angiogram revealed absent parenchymal blush and non-opacification of the previously detected aneurysm. (Fig. 3 & Fig. 4).