TABLE 4

CT features of acute and chronic obstruction of pulmonary arteries

CT FeaturesAcute PEChronic PE
Mediastinal images
 Partial filling defectsYesYes
 Complete filling defectsYesYes
 Arterial retractionYes
 Reperfusion channelsYes
 Webs, bandsYes
 Focal stenosisYes
 Enlarged bronchial arteriesYes
 Enlarged nonbronchial systemic arteriesYes
 Pleural abnormalitiesYes (effusion)Yes
Lung images
 Lung infarction/sequelaeYes (subpleural, wedge-shaped consolidation)Yes (nonspecific fibrotic infiltration/cysts)
 Bronchial dilatationYes (adjacent to severely stenosed arteries)
 Mosaic perfusionYes

PE: pulmonary embolism.