Presentation
Shortness of breath.
Patient Data
Age: 50 years
Gender: Female
From the case:
Pulmonary hypertension due to chronic pulmonary embolism
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/144061/annotated_viewer_json?_c=1701760753\u0026lang=us"}
CTPA 3 years prior to CXR
From the case:
Pulmonary hypertension due to chronic pulmonary embolism
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/144062/annotated_viewer_json?_c=1701760753\u0026lang=us"}
Acute saddle pulmonary embolism extends into left and right pulmonary arteries. No right heart strain. Enlarged main pulmonary artery. Lungs clear.
CTPA 2 years prior to CXR
From the case:
Pulmonary hypertension due to chronic pulmonary embolism
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/144065/annotated_viewer_json?_c=1701760753\u0026lang=us"}
Bilateral right greater than left web-like and peripheral chronic pulmonary emboli. Enlarged main pulmonary artery. Lungs clear.
Case Discussion
Most appropriately treated patients with acute pulmonary embolism (PE) recover without complication. In less than 10% of cases, chronic thromboembolic pulmonary hypertension (CTEPH) develops. Acute emboli tend to be within the center of pulmonary arteries, while chronic PE tends to be peripheral and web-like.
Unable to process the form. Check for errors and try again.