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Images in Thorax
Pulmonary artery aneurysms and thrombi
  1. C M J Steendam1,2,3,
  2. A L Diederik4,5,
  3. A Dendooven6,7,
  4. R J Snijder1,
  5. G J Herder1
  1. 1Department of Pulmonology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands
  2. 2Department of Pulmonology, Amphia Hospital, Breda, The Netherlands
  3. 3Department of Pulmonology, Erasmus MC, Rotterdam, The Netherlands
  4. 4Department of Radiology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands
  5. 5Department of Radiology, Gelderse Vallei Hospital, Ede, The Netherlands
  6. 6Department of Pathology, St. Antonius Hospital Nieuwegein, Nieuwegein, The Netherlands
  7. 7Department of Pathology, University Hospital Antwerp, Edegem, Belgium
  1. Correspondence to CMJ Steendam, Department of Pulmonology, Amphia Hospital, Molengracht 21, Breda 4818 CK, The Netherlands; cmjsteendam{at}

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A 19-year-old previously healthy boy was referred to our hospital with fever, progressive coughing, dyspnoea and haemoptysis for 2 weeks. He had lost weight (3 kg) and was experiencing night sweats.

In the past 6 months, he had experienced that his overall condition and training capacity in sports had decreased noticeably.

On examination, he was tachypnoeic and tachycardic with normal blood pressure. Oxygen saturation was 90% with 15 L of oxygen delivered by Venturi mask. There were diminished breathing sounds in the basal segments of the right lung and in the upper paravertebral region. No other abnormalities were identified.

The laboratory results included a mild microcytic anaemia, leucocytosis and elevation of C reactive protein.

CT and conventional studies showed a central mass in …

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