meandernde Pulmonalvenen

Bilateral

wandering inferior pulmonary veins. Coronal thick MIP

Meandering

pulmonary veins: A 71-year-old woman presented with abnormal finding on chest radiograph during medical check-up. A. Chest radiograph showing a small dense curved opacity (arrows) in the left perihilar area. B and C. Chest CT images revealing an unusual vascular anomaly draining the left upper lobe (arrow in B) and joining the left inferior pulmonary vein (arrow in C) before merging into the left atrium. D. 3D volume rendered image showing an enlarged aberrant anomalous vein (arrows) courses tortuously to posterior direction and drains into the left atrium.

Meandering

pulmonary veins: A 20-year-old man transferred for further evaluation of abnormal finding on chest radiograph. A. Chest radiograph demonstrating an elongated curvilinear structure (arrows) coursing vertically down the right heart border. B and C. Contrast enhanced chest CT images revealing an engorged anomalous pulmonary vein (arrow in B) emptying into the left atrium via left superior pulmonary venous ostium (arrow in C). There was no right inferior pulmonary vein (not shown here). D. Three-dimensional volume rendered image showing focal systemic arterial blood supply from the abdominal aorta in the posterior basal segment of the right lower lobe (arrows). E. Maximum intensity projection image demonstrating small pulmonary venous branches emptying into IVC (long arrow). Also note systemic arterial supply from abdominal aorta (dashed arrow). F. Coronal reformatted image with lung window setting showing 2 bilobed lungs with bilateral hyparterial bronchial branching pattern (left bronchial isomerism).

Angiographic

Findings of an Isolated Meandering Pulmonary Vein: A Case Report: Fig. 1. A 55-year-old female with a meandering pulmonary vein. A. Chest radiograph shows a nodular opacity (arrow) in the right upper lung zone with a normal cardiac silhouette. B. Contrast-enhanced chest CT coronal images (upper) show a tortuous vascular structure in the right upper lobe (arrows) emptying into the left atrium via the right superior pulmonary vein (asterisk) (lower). C. A three-dimensional reformatted volume-rendered image shows the aberrant anomalous vein (arrows) with a tortuous course draining into the left atrium. D. Pulmonary angiography shows normal arterial vessels without evidence of a feeding artery (upper) and the tortuous vein (arrows) draining into the right superior pulmonary vein (asterisk) (lower). E. Pulmonary selective arteriography in several segmental arteries show normal parenchymal staining and normal venous drainage into the right superior pulmonary vein (asterisk) through the tortuous vein (arrows) in the right upper lobe.

Bilateral

wandering inferior pulmonary veins. Posterioanterior view

Bilateral

wandering inferior pulmonary veins. Lateral view

Bilateral

wandering inferior pulmonary veins. Axial view

Bilateral

wandering inferior pulmonary veins. Axial view

Bilateral

wandering inferior pulmonary veins. Axial view

Bilateral

wandering inferior pulmonary veins. Coronal MinIP

Bilateral

wandering inferior pulmonary veins. 3D reconstruction of pulmonary venous tree. Anterior view.

Bilateral

wandering inferior pulmonary veins. 3D reconstruction of pulmonary venous tree. Posterior oblique view