Contralateral decubitus positioning enhances computed tomographic angiographic evaluation of pulmonary vasculature in a patient with a pulmonary arteriovenous malformation.

Abstract:

:Computed tomographic pulmonary angiography has become the diagnostic procedure of choice in patients suspected of having a pulmonary embolus. However, intrapulmonary shunting of blood in a variety of pathologic conditions can cause suboptimal opacification of the pulmonary arterial circulation and result in a suboptimal or even nondiagnostic study. Radiologists should be aware of these conditions and be familiar with positioning techniques to minimize such shunting. We report a patient suspected of having pulmonary embolism, in whom a preexisting unilateral arteriovenous malformation prevented adequate evaluation of the pulmonary circulation. Positioning the patient in the contralateral decubitus position significantly enhanced image quality.

journal_name

J Thorac Imaging

authors

Tafti BA,Berenji GR,Santiago S,Barack BM

doi

10.1097/RTI.0b013e318242b4b3

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

W193-5

issue

6

eissn

0883-5993

issn

1536-0237

journal_volume

27

pub_type

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