CTICasesIncidental Anomalous Bronchopulmonary Vessel
Imaging findings
CT angiography shows a tortuous anomalous systemic/bronchopulmonary vessel arising from the pulmonary circulation and tracking along the posterior wall of the esophagus/mediastinum, without associated shunting, hypoxia, or clinical symptoms.
Key takeaways
Small, anomalous bronchopulmonary or mediastinal vascular connections are occasionally detected as incidental findings on high-resolution chest CT scans. If they are small and hemodynamically insignificant, they do not cause cyanosis or systemic shunting and can be managed conservatively.
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