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one year ago. Clinically she had minimal left basal crepitations on auscultation of the lungs. Chest radiograph and her blood investigations were normal. She was empirically treated as smear-negative pulmonary tuberculosis and completed 9 months of treatment. Post treatment, she complained of persistent minimal daily haemoptysis. High-Resolution Computed Tomography (HRCT) thorax showed an arterial branch (1cm in diameter) arising from the descending thoracic aorta on the left at T8 level, lower than expected of both bronchial arteries. This vessel was thought to supply the left lower lobe. There were multiple small ill-defined nodules seen at the left posterobasal segment of left lower lobe with ground glass appearance. There was a suspicious communication between the arterial branch and the left inferior pulmonary vein, ## Methods and Results: We proceeded with a CT angiogram of thorax which revealed a large anomalous artery arising from the descending thoracic aorta at the left T8 level supplying the posterior segment of the left lower lobe. There was no pulmonary artery branch supplying this region. With these findings a diagnosis of anomalous systemic arterialization of left lo

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Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 1323-7799)

Published

2019

Language

EN

Field

Medicine (Health Sciences)