case_images: PMC3232548_01
case_images: Chest radiographic film showing prominent pulmonary vasculature and dilated pulmonary artery shadow
case_images: IPC-6-13-g001.jpg
case_images: PMC3232548_01_IPC-6-13-g001.jpg
case_images: F1
case_images: Chest X-ray showed prominent peripheral pulmonary vasculature and pulmonary artery (figure 1).
case_images: Subcostal view of echocardiographic contrast study showing the rapid filling of the left atrium following contrast via the right atrium
case_images: IPC-6-13-g002.jpg
case_images: PMC3232548_01_IPC-6-13-g002.jpg
case_images: F2
case_images: A contrast echocardiogram showed rapid return of contrast into the left atrium less than 5 seconds after it is seen in the right atrium (figure 2, and a diagnosis of diffuse-type pulmonary arteriovenous malformation (PAVM) was made.
case_images: Thoracic CT scan showing multiple abnormal vascular formations highlighted by contrast
case_images: IPC-6-13-g003.jpg
case_images: PMC3232548_01_IPC-6-13-g003.jpg
case_images: F3
case_images: CT scan was performed which showed prominent large vessels in the lower left lower lobe (figure 3) but not in any other organs. Cardiac catheterization showed normal pressures with desaturation in the left sided chambers.
case_images: Pulmonary angiogram showing diffuse PAVMs
case_images: IPC-6-13-g004.jpg
case_images: PMC3232548_01_IPC-6-13-g004.jpg
case_images: F4
case_images: Pulmonary angiography showed multiple diffuse vascular lesions in the peripheries consistent with arteriovenous malformation (figure 4).