Pseudopathologic brain parenchymal enhancement due to venous reflux from left-sided injection and brachiocephalic vein narrowing.
In this report, we present a case of a patient with CT angiographic artifacts related to left-sided venous injection resulting in a striking pattern of enhancement simulating vascular abnormalities, which prompted additional diagnostic imaging. To our knowledge, no similar case has been reported in the published literature to date.
Chen
J Y
JY
Department of Radiology, Division of Neuroradiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA. james_chen@alumni.brown.edu
Mamourian
A C
AC
Messe
S R
SR
Wolf
R L
RL
D016477:Artifacts; D016121:Brachiocephalic Veins / Q000000981:diagnostic imaging*; D001927:Brain Diseases / Q000000981:diagnostic imaging*; D003287:Contrast Media / Q000008:administration & dosage*; D006801:Humans; D007267:Injections; D007472:Iohexol / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D007472:Iohexol