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. 2022 Jan 4;23(2):202–217. doi: 10.3348/kjr.2021.0417

Table 1. Summary of Various Vascular Lesions Which Can Be Confused with Pulmonary Arteriovenous Malformation.

Clinical Features Radiologic Features Management
Pulmonary arteriovenous malformation Dyspnea, hemoptysis, cerebral stroke, brain abscess Well-defined peripheral lung nodule/mass, clustered dilated pulmonary vessels Endovascular embolization of feeding artery
Extrapulmonary arteriovenous malformation Pulsating bulging mass of chest wall Vascular tangle abutting pleural surface, systemic feeding arteries and draining veins Endovascular sclerotherapy of nidus
Anomalous pulmonary vein Dyspnea, respiratory distress, hemoptysis Anomalous vein which drains into the left atrium involving unilateral lung, lobe, segment or subsegment Observation
Pulmonary vein atresia or stenosis Tachypnea, dyspnea, recurrent pneumonia, hemoptysis Venous drainage from the affected lung through various forms of collaterals to the left atrium Surgical repair or balloon angioplasty
Pulmonary vein varix Cough, dyspnea, palpitation, hemoptysis, cerebral stroke (rare) Dilated anomalous perihilar pulmonary vein without arterial dilatation or arteriovenous fistula Depends on the underlying cause; surgical resection
Partial anomalous pulmonary venous drainage Dyspnea, heart murmur, arrhythmia, palpitation Anomalous vein which drains into the systemic vein involving at least one pulmonary vein, but not all Surgical repair; endovascular treatment in selected case
Pulmonary artery aneurysm or ectasia Dyspnea, chest pain, palpitation, syncopal episodes, hoarseness Focal or diffuse dilatation of main pulmonary artery and/or branches Surgical repair; endovascular treatment in selected case