COD 193 - Not Every Lung Infarct is Thromboembolic

Case:

74-years old man presented with abdominal pain and he was diagnosed with adenocarcinoma pancreas with liver metastases from a CT guided liver lesion biopsy after a PET/CT.

The chest showed

• Ill-defined lesion in the right infrahilar region
• Encasing right inferior pulmonary vein
• Rt pleural effusion
• Bubble lucencies in a focal lung lesion in the anterior and lateral basal segments of the right lower lobes

These were infarcts.

His pulmonary arteries were normal, but the pulmonary vein was involved.