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Iliac artery angiosarcoma

Imaging findings

Chest and pelvic CT and PET/CT show bilateral nodular pleural thickening, bilateral pleural effusions, subpleural pulmonary nodules, and a hypermetabolic, irregular, intraluminal soft tissue mass in the left common iliac artery.

Key takeaways

Primary arterial angiosarcomas are extremely rare, highly aggressive malignant vascular tumors. They frequently present with thromboembolic complications or early distant metastases, and can manifest pulmonarily as bilateral pleural metastases and malignant effusions.

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