Abstract
Chest X-ray remains important to depict lesions located in hilar and pulmonary vessels, despite the variable accuracy of the technique. Whereas large hilar masses are easily identified, small lesions may be more difficult to detect. Knowledge and careful evaluation of hilar anatomy, however, yield significant information. There is a large variety of congenital and acquired diseases affecting the pulmonary vessels, which can be detected on chest X-ray. When the presence of a pulmonary vascular abnormality is suspected, computed tomography is invaluable because it allow analysis of the pulmonary vessels, the lung parenchyma, the heart, the pleura, the mediastinum, and the thoracic wall in a single examination.
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References
Agarwal PP, Seely JM, Matzinger FR (2004) MDCT of anomalous unilateral single pulmonary vein. AJR Am J Roentgenol 183:1241ā1243
Ahn JM, Im JG, Ryoo JW, Kim SJ, Do YS, Choi YW, Oh YW, Yeon KM, Han MC (1995) Thoracic manifestations of BehƧet syndrome: radiographic and CT findings in nine patients. Radiology 194:199ā203
Amplatz K, Moller JH (1993) Radiology of Congenital Heart Disease. Mosby, St Louis
Andrikakos P, Gallis P, Christopoulos A et al (2004) An asymptomatic pulmonary hilar mass: a case report. Acta Radiol 45:516ā518
Andronikou S, Wieselthaler N (2004) Modern imaging of tuberculosis in children: thoracic, central nervous system and abdominal tuberculosis. Pediatr Radiol 34:861ā875
Asayama J, Shiguma R, Katsume H et al (1984) Pulmonary varix. Angiology 35:735ā739
Berdon WE (2000) Rings, slings, and other things: vascular compression of the infant trachea updated from the midcentury to the millennium ā the legacy of Robert E. Gross, MD, and Edward B. D. Neuhauser, MD. Radiology 216:624ā632
Blake HA, Hall RJ, Manion WC (1965) Anomalous pulmonary venous return. Circulation 32:406ā414
CastaƱer E, Gallardo X, Rimola J, PallardĆ³ Y, Mata JM, Perendreu J, Martin C, Gil D (2006) Congenital and acquired pulmonary artery anomalies in the adult: radiologic overview. Radiographics 26:349ā371
Cole TJ, Henry DA, Jolles H, Proto AV (1995) Normal and abnormal vascular structures that simulate neoplasms on chest radiographs: clues to the diagnosis. Radiographics 15:867ā891
Don C, Hammond DI (1985) The vascular converging points of the right pulmonary hilus and their diagnostic significance. Radiology 155:295ā298
Dupuis C, Charaf LA, Breviere GM et al (1992) The āadultā form of the scimitar syndrome. Am J Cardiol 70:502ā507
Engelke C, Schaefer-Prokop C, Schirg E, Freihorst J, Grubnic S, Prokop M (2002) High-resolution CT and CT angiography of peripheral pulmonary vascular disorders. Radiographics 22:739ā764
Emad Y, Ragab Y, Ael-H S, Gheita T, El-Marakbi A, Salama MH (2007) Hughes-Stovin syndrome: is it incomplete BehƧetās? Report of two cases and review of the literature. Clin Rheumatol 26:1993ā1996
Felson B (1973) In: Felson B (ed) Chest Roentgenology. Saunders, Philadelphia
Ferretti G, Defaye P, Thony F, Ranchoup Y, Coulomb M (1996) Initial isolated Takayasuās arteritis of the right pulmonary artery: MR appearance. Eur Radiol 6:429ā432
Furuya K, Kaku K, Yasumori K et al (2007) Hypogenetic lung syndrome with anomalous venous return to the left inferior pulmonary vein: multidetector row CT findings. J Thor Imag 22:351ā354
Genereux GP (1983) Conventional tomographic hilar anatomy emphasizing the pulmonary veins. AJR Am J Roentgenol 141:1241ā1257
Ghaye B, Couvreur T (2009) Partial anomalous venous return. In: Remy-Jardin M, Remy J (eds) Integrated cardiothoracic imaging with MDCT. Springer Berlin Heidelberg, pp 307ā324
Ghaye B, Szapiro D, Dacher JN, Rodriguez LM, Timmermans C, Devillers D, Dondelinger RF (2003) Percutaneous ablation for atrial fibrillation: the role of cross-sectional imaging. Radiographics 23:S19āS33
Ghaye B, Trotteur G, Dondelinger RF (1997) Multiple pulmonary artery pseudoaneurysms: intrasaccular embolization. Eur Radiol 7:176ā179
Gossage JR, Kanj G (1998) Pulmonary arteriovenous malformations. A state of the art review. Am J Respir Crit Care Med 158:643ā661
Grenier P, Bletry O, Cornud F, Godeau P, Nahum H (1981) Pulmonary involvement in Behcet disease. AJR Am J Roentgenol 137:565ā569
Haitjema TJ, Overtoom TT, Westermann CJ, Lammers JW (1995) Embolisation of pulmonary arteriovenous malformations: results and follow up in 32 patients. Thorax 50:719ā723
Haramati LB, Moche IE, Rivera VT et al (2003) Computed tomography of partial anomalous pulmonary venous connection in adults. J Comput Assist Tomogr 27:743ā749
Hartley JP, Dinnen JS, Seaton A (1978) Pulmonary and systemic aneurysms in a case of widespread arteritis. Thorax 33:493ā499
Hiller N, Lieberman S, Chajek-Shaul T, Bar-Ziv J, Shaham D (2004) Thoracic manifestations of BehƧet disease at CT. Radiographics 24:801ā808
Kalke BR, Carlson RG, Ferlic RM et al (1967) Partial anomalous pulmonary venous connections. Am J Cardiol 20:91ā101
Ketchum ES, Zamanian RT, Fleischmann D (2005) CT angiography of pulmonary artery aneurysms in Hughes-Stovin syndrome. AJR Am J Roentgenol 185:330ā332
Landrin I, Chassagne P, Bouaniche M, Dominique S, Doucet J, Nouvet G, Bercoff E (1997) Pulmonary artery thrombosis in giant cell arteritis. A new case and review of literature. Ann MĆ©d Interne 148:315ā316
Latson LA, Prieto LR (2007) Congenital and acquired pulmonary vein stenosis. Circulation 115:103ā108
Mathey J, Galey JJ, Logeais Y et al (1968) Anomalous pulmonary venous return into inferio vena cava and associated bronchovascular anomalies (the scimitar syndrome). Thorax 23:398ā407
Marshall GB, Farnquist BA, MacGregor JH, Burrowes PW (2006) Signs in thoracic imaging. J Thorac Imaging 21:76ā90
Morgan PW, Foley DW, Erickson SJ (1991) Proximal interruption of a main pulmonary artery with transpleural collateral vessels: CT and MR appearances. J Comput Assist Tomogr 15:311ā313
Nguyen ET, Silva CI, Seely JM, Chong S, Lee KS, MĆ¼ller NL (2007) Pulmonary artery aneurysms and pseudoaneurysms in adults: findings at CT and radiography. AJR Am J Roentgenol 188:W126āW134
Park CK, Webb WR, Klein JS (1991) Inferior hilar window. Radiology 178:163ā168
Posniak HV, Dudiak CM, Olson MC (1993) Computed tomography diagnosis of partial anomalous pulmonary venous drainage. Cardiovasc Intervent Radiol 16:319ā320
Procacci C, Residori E, Bertocco M, Di Benedetto P, Andreis IA, DāAttoma N (1993) Left pulmonary artery sling in the adult: case report and review of the literature. Cardiovasc Intervent Radiol 16:388ā391
Remy J, Boroto K (2009) Pulmonary valve stenosis. In: Remy-Jardin M, Remy J (eds) Integrated cardiothoracic imaging with MDCT. Springer, Berlin, pp 325ā326
Remy J, Lemaitre L, Lafitte JJ, Vilain MO, Saint Michel J, Steenhouwer F (1984) Massive hemoptysis of pulmonary arterial origin: diagnosis and treatment. AJR Am J Roentgenol 143:963ā969
Remy-Jardin M, Remy J (1999) Spiral CT angiography of the pulmonary circulation. Radiology 212:615ā636
Ring NJ, Marshall AJ (2002) Idiopathic dilatation of the pulmonary artery. Br J Radiol 75:532ā535
Roberts KE, Hamele-Bena D, Saqi A, Stein CA, Cole RP (2003) Pulmonary tumor embolism: a review of the literature. Am J Med 115:228ā232
Rossi SE, McAdams HP, Rosado-de-Christenson ML, Franks TJ, Galvin JR (2001) Fibrosing mediastinitis. Radiographics 21:737ā757
Ryu DS, Spirn PW, Trotman-Dickenson B, Hunsaker A, Jung SM, Park MS, Jung BH, Costello P (2004) HRCT findings of proximal interruption of the right pulmonary artery. J Thorac Imaging 19:171ā175
Ryu DS, Ahn JH, Choi SJ, Lee JH, Jung SM, Park MS, Jung BH (2008) Congenital absence of the right interlobar pulmonary artery: HRCT findings. J Thorac Imaging 23:292ā294
Saalouke MG, Shapiro SR, Perry LW et al (1977) Isolated partial anomalous pulmonary venous drainage associated with pulmonary vascular obstructive disease. Am J Cardiol 39:439ā444
Shepard JA, Moore EH, Templeton PA, McLoud TC (1993) Pulmonary intravascular tumor emboli: dilated and beaded peripheral pulmonary arteries at CT. Radiology 18:797ā801
Sherrick AD, Brown LR, Harms GF, Myers JL (1994) The radiographic findings of fibrosing mediastinitis. Chest 106:484ā489
Siripornpitak S, Reddy GP, Schwitter J, Higgins CB (1997) Pulmonary artery sling: anatomical and functional evaluation by MRI. J Comput Assist Tomogr 21:766ā768
Tack D, Nollevaux MC, Gevenois PA (2001) Tree-in-bud pattern in neoplastic pulmonary emboli. AJR Am J Roentgenol 176:1421ā1422
Takahashi K, Honda M, Furuse M, Yanagisawa M, Saitoh K (1996) CT findings of pulmonary parenchyma in Takayasu arteritis. J Comput Assist Tomogr 20:742ā748
Ten Harkel AD, Blom NA, Ottenkamp J (2002) Isolated unilateral absence of a pulmonary artery: a case report and review of the literature. Chest 122:1471ā1477
Tschirch FT, Del Grande F, Marincek B, Huisman TA (2003) Angiosarcoma of the pulmonary trunk mimicking pulmonary thromboembolic disease. A case report. Acta Radiol 44:504ā507
Tunaci A, Berkmen YM, Gƶkmen E (1995) Thoracic involvement in BehƧetās disease: pathologic, clinical, and imaging features. AJR Am J Roentgenol 164:51ā56
Ugolini P, Mousseaux E, Sadou Y, Sidi D, Mercier LA, Paquet E, Gaux JC (1999) Idiopathic dilatation of the pulmonary artery report of 4 cases. Magn Reson imaging 17:933ā937
White RI Jr, Mitchell SE, Barth KH, Kaufman SL, Kadir S, Chang R, Terry PB (1983) Angioarchitecture of pulmonary arteriovenous malformations: an important consideration before embolotherapy. AJR Am J Roentgenol 140:681ā686
Yamada I, Shibuya H, Matsubara O, Umehara I, Makino T, Numano F, Suzuki S (1992) Pulmonary artery disease in Takayasuās arteritis: angiographic findings. AJR Am J Roentgenol 159:263ā269
Yamashita H (1978) Roentgenologic Anatomy of the Lung. Igaku-Shoin, New York
Yi CA, Lee KS, Choe YH, Han D, Kwon OJ, Kim S (2004) Computed tomography in pulmonary artery sarcoma: distinguishing features from pulmonary embolic disease. J Comput Assist Tomogr 28:34ā39
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Ghaye, B. (2011). Imaging of Hila and Pulmonary Vessels. In: Coche, E., Ghaye, B., de Mey, J., Duyck, P. (eds) Comparative Interpretation of CT and Standard Radiography of the Chest. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-79942-9_7
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