CTICasesPulmonary venous thrombosis
Imaging findings
CT angiogram post-double lung transplant shows progressive consolidation and bogginess of the left lung allograft, with complete lack of contrast filling in the left superior and inferior pulmonary veins and a large thrombus at the left atrial anastomosis, requiring emergent allograft pneumonectomy.
Key takeaways
Pulmonary venous thrombosis is a rare, life-threatening complication of lung transplantation. It presents as progressive, unilateral allograft congestion and edema on radiographs, and CT angiography showing venous occlusion is critical to prompt diagnosis.
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