Presentation
The patient came with acute shortness of breath and fever
Patient Data
We see a complete obliteration of the left pulmonary artery and the segment arteries. Signs of chronic pulmonary hypertension with a diameter of the pulmonary trunk of approximately 4 cm. Lobar pneumonia on the right in the middle lobe. Reactive mediastinal and hilar lymphadenopathy.
Central pulmonary embolism on the left side.
Case Discussion
Retrospective compared to an earlier study six years ago, the cause of the obliteration of the left pulmonary artery is a chronic central pulmonary embolism.
The cause of the acute dyspnea would be the lobar pneumonia in the right middle lobe.