Acute-on-chronic pulmonary emboli

Case contributed by RMH Core Conditions


Type 2 respiratory failure. TTE - large RV with decreased function, pulmonary hypertension and moderate TR. ?PE.

Patient Data

Age: 60
Gender: Female

Pulmonary angiogram

Port in the right side of the chest noted.

There are multiple filling defects in the segmental branches of the right upper, middle and lower lobes and the left lower lobe. The most proximal embolus is a small embolus at the bifurcation of the right main pulmonary artery.

The pulmonary artery is dilated (3.7cm) and there is reflux of contrast into the hepatic veins in keeping with the stated history of pulmonary hypertension.

Atelectasis is noted in the lung bases. There are small bilateral pleural effusions. Changes consistent with centrilobular emphysema noted in the lung apices.


Multiple pulmonary emboli, predominantly segmental and likely representing a combination of acute and chronic emboli. Evidence of pulmonary hypertension.

PlayAdd to Share

Case information

rID: 27925
Published: 27th Feb 2014
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.