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Pulmonary Artery Intimal Sarcoma

Imaging findings

Irregular filling defect in the pulmonary artery mimicking pulmonary embolism, which persists/grows despite treatment. Subsequent imaging shows recurrence at the stump post-pneumonectomy.

Key takeaways

Intimal sarcoma is an important diagnostic consideration for persistent, irregular pulmonary artery filling defects. Serial comparison is crucial to detect local recurrence.

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