title: [A rare case of marked dilatation of the pulmonary veins and emphysematous lesions in both lower lung lobes].
abstract: A 34-year-old man was admitted to our hospital because of continuous shortness of breath and abnormal chest shadows. Bronchiectasis had been suspected because of abnormal chest shadows during childhood. However, a chest CT scan obtained on admission did not show any bronchiectatic changes, but marked dilated blood vessels and emphysematous changes in the bilateral lower lobes were seen. A pulmonary angiogram showed normal pulmonary arteries in the arterial phase and diffuse dilated veins in the venous phase. Although he has been suffering also from liver cirrhosis type B with portal hypertension, we could not find any association between the liver cirrhosis and the lung lesions. This is a very rare case in which there is a possibility of congenital or idiopathic dilatation of the pulmonary veins.
authors.affiliation: Department of Internal Medicine, Health Insurance Isahaya General Hospital, Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ishii
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mukae
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Kakugawa
authors.forename: Sumako
authors.initials: S
authors.lastname: Yoshioka
authors.forename: Noriho
authors.initials: N
authors.lastname: Sakamoto
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Inoue
authors.forename: Shigeru
authors.initials: S
authors.lastname: Kohno
mesh_terms: D000328:Adult; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D011656:Pulmonary Emphysema / Q000473:pathology*; D011667:Pulmonary Veins / Q000473:pathology*