Thoracic Complications in Behçet’s Disease: Imaging Findings

Figure 1

A 45-year-old woman with chronic cough, dyspnea, and hemoptysis. She had no family history of Behçet’s disease or familial vascular disorder. (a) Chest radiograph showing a focal right paratracheal mass (white arrow). (b) Axial contrast-enhanced chest CT scan (mediastinal window) at the level of the thoracic inlet showing a mass with curvilinear calcification (white arrow). (c) Coronal contrast-enhanced chest CT scan (mediastinal window) showing a round mass (white arrow) in contact with the right subclavian artery (arrow head). Curvilinear calcification is visible in the wall of the mass. (d) Coronal maximum-intensity projection magnetic resonance angiography image showing a saccular aneurysm at the right subclavian artery (white arrow). The diagnosis of Behçet’s disease was made after histopathological examination of the resected specimen following surgery. (e) Histopathology of resected subclavian arterial aneurysm. Hematoxylin-eosin, magnification x40. Chronic inflammatory process containing lymphocyte infiltration was detected in the adventitia that was compatible with diagnosis of Behçet’s disease.

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