AJDRAJNR - American Journal of Neuroradiology

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American Journal of Neuroradiology
DOI 10.3174/ajnr.A1688

BRAIN

Pseudopathologic Brain Parenchymal Enhancement due to Venous Reflux from Left-Sided Injection and Brachiocephalic Vein Narrowing

J.Y. Chen, A.C. Mamourian, S.R. Messe and R.L. Wolf

From the Department of Radiology, Division of Neuroradiology (J.Y.C., A.C.M., R.L.W.) and Department of Neurology (S.R.M.), Hospital of the University of Pennsylvania, Philadelphia, Pa.

Please address correspondence to James Y. Chen, MD, Hospital of the University of Pennsylvania/Division of Neuroradiology, 3400 Spruce St, Philadelphia, PA 19104; e-mail: james_chen{at}alumni.brown.edu

SUMMARY: In this report, we present a case of a patient with CT angiographic artifacts related to left-sided venous injection resulting in a striking pattern of enhancement simulating vascular abnormalities, which prompted additional diagnostic imaging. To our knowledge, no similar case has been reported in the published literature to date.






Copyright © 2009 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X