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40 year old female presents with tachycardia, fatigue and dyspnea. Echocardiogram suggested narrowing of the left upper lobe pulmonary vein
4 chambered T2 weighted MRI in the axial plain shows narrowing of the left lower lobe pulmonary vein(red arrow, (a) with upstream dilation
heart examination is otherwise normal.
At its narrowest point the pulmonary vein measures 4.3mm and the vein proximal to the narrowing measures 8.4mm (b)
Small bilateral pleural effusions are likely physiological
key words
left lower pulmonary vein narrowed between the aorta and left atrial wall
Ashley Davidoff

Pulmonary Vein Occlusion and Encasement by Sarcoidosis
OCCLUDED LEFT LOWER PULMONARY VEIN (red arrow)
SARCOIDOSIS, STAGE IV, PTX, ENCASEMENT

Ashley Davidoff MD

OCCLUDED LEFT LOWER PULMONARY VEIN (red arrow)
SARCOIDOSIS, STAGE IV, PTX, ENCASEMENT
Ashley Davidoff MD

 

See Lung Section