Presentation
History of femoral surgery one week ago. The patient has acute dyspnea and cough for last two days.
Patient Data
Extensive filling defects involving both main pulmonary arteries extending to the lobar and segmental branches.
Ground glass opacity in the left upper lobe suggestive of early pulmonary infarct.
Dilated pulmonary trunk and straightening of the interventricular septum suggestive of pulmonary arterial hypertension and right heart strain.
Associated finding is fatty liver.
Case Discussion
Pulmonary embolism refers to embolic occlusion of the pulmonary arterial system. Clinical signs and symptoms are non-specific. Dyspnea, chest pain, and hemoptysis are described as a classic triad in pulmonary embolism.