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Pulmonary vascular telangiectasias in sickle cell disease

Imaging findings

MIP reconstructions of a chest CT show diffuse, beaded, and irregular dilation of the peripheral pulmonary vasculature (telangiectasias) throughout both lungs in a patient with sickle cell disease.

Key takeaways

Chronic micro-infarctions, thrombosis, and slow blood flow in sickle cell disease can lead to chronic vascular remodeling, manifesting on CT as beaded, tortuous, and dilated peripheral pulmonary vessels.

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