Because of its ability to depict intravascular, intramural, and extram
ural pathology, non-invasive imaging is well suited to assessing life-
threatening hemoptysis that may complicate Behcet disease. We made exc
lusive use of CT angiography supplemented by MR to Identity pulmonary
thromboembolism, mediastinal lymphadenopathy, and bilateral pulmonary
artery aneurysms with signs of previous unilateral-rupture. Two-dimens
ional reformatted CT images provided surgeons with a road map of upstr
eam a downstream vascular relationships prior to aneurysm resection. I
maging findings were confirmed by surgery and pathology. Non-invasive
imaging proved to be a useful alternative to standard catheter arterio
graphy in the preoperative assessment of hemoptysis in this patient wi
th Behcet disease.