Acute pulmonary embolism

Case contributed by Jerry Jiang

Presentation

History of cerebral palsy, seizure disorder, and psychosis presenting with fever and tachycardia.

Patient Data

Age: 20 years
Gender: Female

CT angiography - pulmonary artery

CT

Acute pulmonary embolism seen in segmental branches of pulmonary artery supplying right lower lobe. No evidence of right heart strain seen. 

Case Discussion

The patient was originally admitted for neuropsychiatric issues. During the admission, she acutely developed fever and tachycardia. Work-up revealed a lower extremity deep vein thrombosis and pulmonary embolism. Patient's hypercoagulability is highly suspicious for hyper-coagulable conditions such as antiphospholipid antibody syndrome, among other differentials. 

 

This case was submitted with supervision and input from:

Soni C. Chawla, M.D.
Associate Professor
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.