Table 2.
Radiological features associated with the cavities
Patient | Underlying pathology | Imaging Modality of 1st cavity diagnosis | Number of Cavities | Cavity Size and Location | Other Cavity Features | Infective Organism in Sputum | Additional CTPA findings |
---|---|---|---|---|---|---|---|
Case 1 | CTEPH | CTPA | 2 | 4cm Left upper lobe |
Cavity within area of consolidation | Pseudomonas aeroginosa Enterococcus | Extensive proximal pulmonary artery thrombus |
3cm Right posterior basal segment |
Cavity within area of consolidation, containing air/fluid level. | ||||||
Case 2 | CTEPH | CT Thorax | 1 | 3cm Right lower lobe |
Cavity within an area of soft tissue opacification | MRSA | Right pulmonary artery mural thrombus |
Case 3 | CTEPH | Chest X-Ray and CT thorax | 1 | 5cm Right lower lobe apical segment |
Thick-walled cavity surrounded by consolidation | Pseudomonas aeroginosa | Right pulmonary artery thrombus |
Case 4 | CTEPH | CT thorax | 1 | Small Right upper lobe |
Cavity within area of consolidation | No | Right lower lobe pulmonary artery thrombus |
Case 5 | ASD with Eisenmengers CTPA and CTEPH | Chest X-Ray and | 1 | 6cm Right upper lobe |
Cavity within an area of consolidation. | No | Thrombus in right main and upper lobe arteries |
Pruning of right upper lobe pulmonary artery | |||||||
Case 6 | CTEPH | CTPA | 1 | Small Apical segment left lower lobe |
Cavity within area of consolidation | No | Thrombus in inferior lingula and right middle and lower lobe arteries |
Case 7 | CTEPH | Chest X-Ray and CTPA | 1 | 2.2cm Right lower lobe apical segment |
Thick-walled cavity within consolidation | No | Enlarged main pulmonary artery |
Case 8 | CTEPH | CTPA | 2 | 4.4cm & 3.3cm Right upper lobe anterior segment |
Both cavities thin-walled consolidation | No | Multiple pulmonary emboli in arteries leading to area of consolidation |
Enlarged main pulmonary artery | |||||||
Case 9 | CTEPH | CTPA | 1 | 0.8cm Right apex |
Thin-walled cavity No consolidation |
No | Mosaic pattern |
Enlarged pulmonary artery with proximal thrombus | |||||||
Case 10 | CTEPH | CTPA | 1 | 4cm Right base lower lobe |
Thick-walled cavity No consolidation |
No | Mosaic pattern. Pulmonary artery diameter 4.7cm. |
Case 11 | CTEPH | CTPA | 3 | Moderate Right posterior apex |
Irregular, thick-walled cavity | No | Extensive thrombus in main pulmonary artery and right lower lobe artery. Marked pruning of both lower lobe segmental arteries. Pulmonary artery diameter 3.6cm |
2 × small cavites Both lower lobes |
Irregular, thick-walled cavities |