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Chest clinic
Images in Thorax
Primary racemose haemangioma of the right bronchial artery with thrombus and slow meandering blood flow
  1. Kazushi Fujimoto1,
  2. Hajime Kasai2,
  3. Toshihiko Sugiura2,
  4. Nobuhiro Tanabe2,
  5. Koichiro Tatsumi2
  1. 1Department of Medicine, School of Medicine, Chiba University, Chiba, Japan
  2. 2Department of Respirology, Graduate School of Medicine, Chiba University, Chiba, Japan
  1. Correspondence to Kazushi Fujimoto, Department of Medicine, School of Medicine, Chiba University, Chiba 260-8670, Japan; kazfujimoto18{at}yahoo.co.jp

https://doi.org/10.1136/thoraxjnl-2016-209668

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    A 48-year-old man was admitted to our hospital because of an abnormal lung shadow detected on health check-up. He had no history of lung disease. Chest X-ray showed a nodule overlapping the pulmonary artery at the right hilar area; there was no other abnormality (figure 1A). Contrast-enhanced CT of the chest showed hyperplasia of a right racemose haemangioma of a bronchial artery (RHBA), with an area of low density that was suspected as thrombus or malignant tumour (figures 1B, C). Bronchial arteriography showed a pattern that was similar to the beans of a pagoda tree (an herbal medicine) and revealed a blood flow that was disproportionally slow to the artery branch and was meandering in the right RHBA. In addition, there was a relatively small …

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    Footnotes

    • Contributors KF is the guarantor of this manuscript and contributed to writing and reviewing of the entire manuscript. HK and TS contributed to image analysis and critical review of the manuscript. NT and KT contributed to critical review of the manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.