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Pulmonary Varix
Carlos S. Restrepo, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Pulmonary venous aneurysm
          • Definitions

            • Nonobstructive dilatation of one or more pulmonary veins at insertion into left atrium (LA)
            • May be isolated radiologic finding
            • May be congenital or associated with acquired heart disease (e.g., mitral stenosis ± regurgitation)
            • No enlarged feeding artery or arteriovenous communication
            • May be mistaken for mediastinal, hilar, or pulmonary mass

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • Staging, Grading, & Classification

                      • Gross Pathologic & Surgical Features

                        CLINICAL ISSUES

                        • Presentation

                          • Natural History & Prognosis

                            • Treatment

                              DIAGNOSTIC CHECKLIST

                              • Image Interpretation Pearls

                                • Reporting Tips

                                  Selected References

                                  1. Shostak E et al: A diagnostic conundrum: progressive tubular lung mass in asymptomatic young woman. Chest. 155(5):e131-5, 2019
                                  2. Haddad J et al: Pulmonary varix: a case report. Rev Port Cardiol. 35(7-8):443.e1-4, 2016
                                  3. Gill SS et al: Pulmonary arteriovenous malformations and their mimics. Clin Radiol. 70(1):96-110, 2015
                                  4. Berecova Z et al: A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography. J Radiol Case Rep. 6(12):9-16, 2012
                                  5. Sirivella S et al: Pulmonary venous aneurysm presenting as a mediastinal mass in ischemic cardiomyopathy. Ann Thorac Surg. 68(1):241-3, 1999
                                  6. Bhaktaram VJ et al: Large pulmonary vein varix diagnosed by transesophageal echocardiography: an unusual site for thrombus in atrial fibrillation. J Am Soc Echocardiogr. 11(2):213-5, 1998
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Terminology

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Synonyms

                                            • Pulmonary venous aneurysm
                                          • Definitions

                                            • Nonobstructive dilatation of one or more pulmonary veins at insertion into left atrium (LA)
                                            • May be isolated radiologic finding
                                            • May be congenital or associated with acquired heart disease (e.g., mitral stenosis ± regurgitation)
                                            • No enlarged feeding artery or arteriovenous communication
                                            • May be mistaken for mediastinal, hilar, or pulmonary mass

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • Staging, Grading, & Classification

                                                      • Gross Pathologic & Surgical Features

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Natural History & Prognosis

                                                            • Treatment

                                                              DIAGNOSTIC CHECKLIST

                                                              • Image Interpretation Pearls

                                                                • Reporting Tips

                                                                  Selected References

                                                                  1. Shostak E et al: A diagnostic conundrum: progressive tubular lung mass in asymptomatic young woman. Chest. 155(5):e131-5, 2019
                                                                  2. Haddad J et al: Pulmonary varix: a case report. Rev Port Cardiol. 35(7-8):443.e1-4, 2016
                                                                  3. Gill SS et al: Pulmonary arteriovenous malformations and their mimics. Clin Radiol. 70(1):96-110, 2015
                                                                  4. Berecova Z et al: A complex pulmonary vein varix -- diagnosis with ECG gated MDCT, MRI and invasive pulmonary angiography. J Radiol Case Rep. 6(12):9-16, 2012
                                                                  5. Sirivella S et al: Pulmonary venous aneurysm presenting as a mediastinal mass in ischemic cardiomyopathy. Ann Thorac Surg. 68(1):241-3, 1999
                                                                  6. Bhaktaram VJ et al: Large pulmonary vein varix diagnosed by transesophageal echocardiography: an unusual site for thrombus in atrial fibrillation. J Am Soc Echocardiogr. 11(2):213-5, 1998