68-Year-Old Man With Lung Cancer in Left Lower Lobe Treated With RT (IMAGE)
Caption
A, Axial CT scan shows RT plan. Absolute = absolute dose of RT, Iso = isocenter. B, CT scan obtained 1 month after RT does not show pulmonary artery thrombosis. C, CT scan obtained 32 months after RT shows eccentric nonocclusive filling defect (arrow) in left interlobar pulmonary artery identified within RT volume. Patient was not treated with anticoagulants. D, Follow-up CT scan obtained 45 months after RT shows increase in size of thrombus (arrow). E, PET/CT image obtained within 1 month of follow-up CT scan in C did not reveal FDG uptake within region of filling defect, suggesting bland thrombus instead of tumor thrombus or recurrence. F, CT scan in lung window shows radiation fibrosis (arrow) in left lung.
Credit
American Roentgen Ray Society (ARRS), American Journal of Roentgenology (AJR)
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