Key result
Thoracic cross-sectional imaging identifies pulmonary artery sarcoma via large, enhancing central filling defects.
Why the study?
Pulmonary artery sarcoma is a rare intravascular neoplasm often mistaken for thromboembolic disease, requiring identification of diagnostic imaging clues.
What are the imaging clues to differentiate pulmonary artery sarcoma from thromboembolic disease on thoracic cross-sectional imaging?
What are the imaging clues to differentiate pulmonary artery sarcoma from thromboembolic disease on thoracic cross-sectional imaging?
Pulmonary artery sarcoma can be differentiated from thromboembolic disease on cross-sectional imaging by identifying enhancing filling defects, ipsilateral lung nodules, and ipsilateral pulmonary oligemia.
May prompt sarcoma consideration for atypical central defects; leaves open prospective validation of imaging criteria.
In Brief Pulmonary artery sarcoma is a rare intravascular neoplasm usually mistaken for thromboembolic disease. Clues to the correct diagnosis include large, central pulmonary arterial filling defects out of proportion to the patient's symptoms, an enhancing pulmonary arterial filling defect, ipsilateral lung nodules, and ipsilateral pulmonary oligemia. Pulmonary artery sarcoma is a rare intravascular neoplasm usually mistaken for thromboembolic disease. Clues to the correct diagnosis include large, central pulmonary arterial filling defects out of proportion to the pateint’s symptoms, an enhancing pulmonary arterial filling defect, ipsilateral lung nodules, and ipsilateral pulmonary oligemia.
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Gotway et al. (2009) conducted a review in Pulmonary artery sarcoma. Thoracic cross sectional imaging was evaluated. Thoracic cross-sectional imaging can identify pulmonary artery sarcoma through clues such as large, central, enhancing pulmonary arterial filling defects out of proportion to patient symptoms.
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