Acute pulmonary embolism

Case contributed by Prashant Kandel
Diagnosis almost certain

Presentation

Patient presented with symptoms of shortness of breath.

Patient Data

Age: 60 years
Gender: Male
ct

There are multiple, non-enhancing, filling defects noted within the lower lobe segmental branches of bilateral pulmonary arteries (right > left).

The thrombus within the artery is centrally placed giving the "tram-track" appearance on coronal section and "polo-mint" appearance on axial section.

There is no calcification noted within the thrombus.

Case Discussion

This is the case of acute pulmonary embolism.

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