Case Report

Hypoxemia and Right-to-Left-Shunt in Patient with Antiphospholipid Syndrome: A Case Report with Multimodality Imaging Findings and Literature Review

Figure 1

Enhanced axial chest CT image (a) and oblique axial thin-slab maximum-intensity-projection (MIP) images (b, c) inferior to (a) show thrombosed and stenosed SVC (arrowhead) and distended and occluded azygos vein (black block arrow). There are chest wall, accessory hemiazygos, and paravertebral, intense mediastinal venous collaterals (short arrows). Central superior pulmonary veins (black asterisks) are opacified through adjacent collateral (long white arrows) as compared to nonopacified peripheral portions (white asterisks). Note the contrast filled aorta (white block arrow).
(a)
(b)
(c)