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

CT angiography - pulmonary artery

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

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Case information

rID: 69902
Published: 26th Jul 2019
Last edited: 14th Aug 2019
System: Vascular, Chest
Inclusion in quiz mode: Included

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