Expansive pulmonary artery aneurysm in an IV drug user.

To cite: Albertson M, Jamous F, Groskreutz D. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-208556 DESCRIPTION A 46-year-old male with a history of IV drug use (methamphetamine and heroin) presented with upper respiratory complaints. His chest X-ray (figure 1A, B) showed increased fullness in the area of the pulmonary artery. The successive chest CT (figure 2A, B) showed a large aneurysm measuring 72×77 mm without evidence of chronic thrombus or advanced lung disease. An echocardiogram demonstrated a severely enlarged right ventricle but