Presentation
Shortness of breath, pulmonary embolism suspected.
Patient Data
Artifacts due to the fact that the patient could not his raise arms, plus breathing-related motion artifacts.
No embolus visible in the main, lobar or segmental pulmonary arteries.
The main pulmonary arteries are enlarged.
The left ventricle is enlarged. Right sinus of Valsalva aneurysm with thrombosis and calcified rim.
Minimal amount of pericardial effusion.
Azygos fissure.
Ground glass opacities in the right upper lobe (RUL). Smaller, subtler alveolar opacities in the left upper lobe (LUL). Dependent opacities with air bronchograms in the lower lobes, compatible with aspiration. The opacities in the upper lobes perhaps represent infectious infiltrates (i.e. pneumonia) or aspiration as well.
Case Discussion
Incidentally discovered right sinus of Valsalva aneurysm with a mural thrombus and a calcified wall.