title: A rare case of dilatation of pulmonary veins and pulmonary emphysema in both lower lobes.
abstract: A 34-year-old man was admitted to hospital because of persistent shortness of breath and diffuse vascular dilation at both lower fields of his CXR. Bronchiectasis had been suspected during childhood because of abnormal chest shadows. However, a chest CT scan obtained on admission failed to show bronchiectasis, but rather there was a dilation of blood vessels and low attenuation areas in both lower lobes. A pulmonary angiogram showed normal pulmonary arteries in the arterial phase and diffuse dilated veins in the venous phase. Although the patient also had liver cirrhosis type B with portal hypertension, no association could be found between his liver cirrhosis and the lung lesions. This is a rare case of possible congenital or idiopathic diffuse dilatation of the pulmonary veins.
authors.affiliation: Department of Internal Medicine, Health Insurance Isahaya General Hospital, Nagasaki, 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 / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008297:Male; D011656:Pulmonary Emphysema / Q000150:complications* / Q000000981:diagnostic imaging*; D011667:Pulmonary Veins / Q000000981:diagnostic imaging*; D011859:Radiography