169Lu Intralobar Sequestration

36 year old female

  • Had a cough her whole life
    • Had COVID 1 year ago
      • rust colored sputum a couple times per month
      • chills also a couple times per month
      • productive cough with some rust-colored sputumCXR then CT scan obtained to evaluate cough
        This showed a 7.2 x 3.6cm right lower lobe lesion with arterial supply from the celiac artery consistent with bronchopulmonary sequestration

CXR for Cough

Shows a Right Lower Lobe Consolidation or Mass

Intralobar Sequestration in a patient who presents with a chronic cough bloody sputum and a mass/consolidation on CXR in the right lower lobe
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 001
Intralobar Sequestration in a patient who presents with a chronic cough bloody sputum and a mass/consolidation on CXR in the right lower lobe
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 001

 

CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein

Arterial Supply from the Celiac Axis

CT shows a Lobulated Complex, Predominantly Low Density Mass with Systemic Arterial Supply from the Celiac Axis
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 004
CT shows a Lobulated Complex, Predominantly Low Density Mass with Systemic Arterial Supply from the Celiac Axis The contrast enhanced vessel represents the arterial supply.
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 004
CT shows a Lobulated Complex, Predominantly Low Density Mass with Systemic Arterial Supply from the Celiac Axis The contrast enhanced vessel represents the arterial supply.
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 005

Venous Drainage into the Right Lower Lobe Pulmonary Vein

CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 006
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 007
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 008
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 009
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 011
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 012
CT shows a Lobulated Complex, Predominantly Low Density Mass withvVenous Drainage into the Right Lower Lobe Pulmonary Vein
Ashley Davidoff MD TheCommonVein.net  intralobar sequestration 013