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Angiosarcoma of the pulmonary artery as an unexpected evolution of an apparent pulmonary thromboembolism
  1. Angela Bronte1,
  2. Sofia González-Ibán2,
  3. Elia Lecumberri de Fuentes2,
  4. Héctor Lajusticia3
  1. 1Nuclear Medicine, Hospital Universitario Son Espases, Palma, Spain
  2. 2Radiology, Complejo Hospitalario de Navarra, Pamplona, Spain
  3. 3Radiology, Hospital Universitario Son Espases, Palma, Spain
  1. Correspondence to Dr Héctor Lajusticia, Radiology, Hospital Universitario Son Espases, Palma, Spain; hectorlajusticiaandres{at}gmail.com

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Case

A 70-year-old woman, non-smoker, with previous SARS-CoV-2 infection 6 months ago and 1-month history of cough and expectoration, presented with acute left pleuritic pain and progressive dyspnoea. She was referred to the emergency department, where a chest X-ray showed a left pleural effusion. To exclude a pulmonary embolism (PE), a CT pulmonary angiogram (CTPA) was performed. It demonstrated a filling defect within the trunk of the pulmonary artery, both main pulmonary arteries and the left segmental pulmonary arteries by a poorly enhancing hypodense lesion. Also, a pleural-based triangular consolidation in the left upper lobe (LUL) and a left pleural effusion were seen (figure 1). The patient was diagnosed with acute and chronic PE with LUL pulmonary infarction and was treated with systemic anticoagulation. After clinical …

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Footnotes

  • AB and HL contributed equally.

  • Contributors All co-authors contributed to prepare the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

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