Fig. 2From: Massive haemorrhagic complications of ruptured pulmonary arteriovenous malformations: outcomes from a 12 years’ retrospective studyUnilateral multiple PAVMs in a 52-year-old man with haemothorax. A, B one smooth PAVM located in the interlobar pleural area was not considered to be ruptured based on its appearance on multi-detector CTA and pulmonary angiography (arrows). C the ruptured lesion located in the subpleural area manifested as an “anomalous bulge” on CTA (arrow). D this characteristic presented as the “double shadow sign” on angiography, as indicated by the black arrowBack to article page