Interesting chest skiagram

Abstract

Case: A 19 year old female came with complaints of haemoptysis and right side chest pain for 3 years with history of ATT intake twice and h/o VATS guided biopsy from right hilar mass which was inconclusive . Chest radiograph : Non-homogenous opacity on the right hilar region. Bronchoscopy : only two segments in right upper lobe. CT Chest Angiogram: suggestive of intralobar pulmonary sequestration which had arterial supply from internal mammary artery and venous drainage into the right pulmonary vein . Angiogram: shows multiple feeders from right internal mammary artery supplying the sequestrated segment of lung. Treatment: Embolisation of two major feeding branches from right internal mammary artery done. Patient became asymptomatic.