Acquired Pulmonary Vein Stenosis in a 60-Year-Old Woman: A Case-Based Radiological Review
Acquired Pulmonary Vein Stenosis Case Overview A 60-year-old woman presented with intermittent left-sided chest pain and hemoptysis that had persisted for several weeks. Her medical history included paroxysmal atrial fibrillation , for which she underwent catheter ablation four months prior . A chest radiograph revealed minimal left-sided pleural effusion with stable parenchymal scarring but no focal consolidation. Subsequent CT angiography (CTA) revealed severe focal stenosis in the superior segment of the left inferior pulmonary vein , and possible occlusion or high-grade stenosis in the basal segment. Multifocal ground-glass opacities (GGO) and peripheral consolidation were noted in the left lower lobe and lingula, raising suspicion for pulmonary venous congestion. Differential Diagnosis Pulmonary vein stenosis (PVS) Pulmonary vein thrombosis Pulmonary vein atresia Tumor thrombus involving the pulmonary vein The final diagnosis was acquired pulmonary v...