[A rare case of marked dilatation of the pulmonary veins and emphysematous lesions in both lower lung lobes].
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.
Ishii
Hiroshi
H
Department of Internal Medicine, Health Insurance Isahaya General Hospital, Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
Mukae
Hiroshi
H
Kakugawa
Tomoyuki
T
Yoshioka
Sumako
S
Sakamoto
Noriho
N
Inoue
Yuichi
Y
Kohno
Shigeru
S
D000328:Adult; D004108:Dilatation, Pathologic; D006801:Humans; D008297:Male; D011656:Pulmonary Emphysema / Q000473:pathology*; D011667:Pulmonary Veins / Q000473:pathology*