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Embolized Methyl Methacrylate

Imaging findings

CT chest shows multiple, small, dense, branching metallic-like radiopacities located in the peripheral subsegmental pulmonary arteries of the lower lobes, without surrounding ground-glass opacity or infarction.

Key takeaways

Pulmonary cement embolization is a known complication of vertebroplasty or kyphoplasty, resulting from leakage of methyl methacrylate into the perivertebral venous plexus. These emboli are typically asymptomatic and are found incidentally on chest imaging, requiring no specific therapy unless symptomatic.

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