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Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Mimic

Imaging findings

Lack of opacification of the left pulmonary artery mimicking an intimal sarcoma, but caused by chronic venous occlusion following atrial fibrillation ablation.

Key takeaways

Pulmonary veins are a potential blind spot. Always look for the cause of absent pulmonary artery opacification—slow flow from venous occlusion can mimic malignant masses.

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