Acute hemopthysis since 5 days on a 16 yo boy.
Spontaneous recurrent epistaxis in childhood
Multiple arterioveinous malformations (AVM) in right and left lung.
The biggest AVM is located on left upper lobe, with enlarged feeding artery and draining vein.
Lung angiography :
Pulmonary AVMs with single artery draining into an enlarged vein. Embolization with detachable metal coils.
Hereditary hemorrhagic telangiectasia with lung arteriovenous malformation