Pulmonary AVMs due to due to hereditary hemorrhagic telangiectasis. Coiling in the past. Measurement of AVMs and feeding vessels. New AVMs? LUNGS AND PLEURA: Multiple stable micronodules are again identified throughout the lungs, which may represent telangiectasias or AVMs. The largest AVM in the posterior basal segment of the right lower lobe has slightly increased in size, now measuring 9 x 8 x 11 mm (image#170 series #8 and image #28 series #80688), previously measuring 10 x 6 x 8 mm in 3/08. Size of the feeding artery and the draining vein increased; the feeding artery measures 3.4 mm (previously 2.5mm) and the draining vein measures 3.0 mm (previously 1.8 mm). Embolic coils are again identified in the anterior basal and posterior basal segments of the right lower lobe. MEDIASTINUM AND HILA: Unchanged tracheal diverticulum (series #9, image #9). Small unchanged mediastinal lymph nodes. Normal heart size.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: No significant abnormality noted.
1. The largest AVM in the right lower lobe has minimally increased in size, with increase in size of the feeding artery and the draining vein.2. Other unchanged multifocal scattered pulmonary micronodules. No new nodules.