Acute pulmonary embolism with pulmonary infarct

Case contributed by Assoc Prof Craig Hacking

Presentation

Acute pleuritic chest pain and tachypnea.

Patient Data

Age: 35 years
Gender: Male

Suboptimal timing of the examination, however, there are bilateral moderate volume emboli extending from the pulmonary trunk bifurcation to the subsegmental arteries of the right upper lobe, right middle lobe, right lower lobe and left lower lobe. Pulmonary trunk caliber is on the upper limits of normal. No other features of right heart strain.

Associated right lower lobe wedge-shaped subsegmental consolidation in keeping with pulmonary infarct/hemorrhage.

Case Discussion

The patient had no risk factors for venous thromboembolism  apart from recent long haul travel.

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Case information

rID: 73062
Published: 23rd Dec 2019
Last edited: 23rd Dec 2019
System: Vascular, Chest
Inclusion in quiz mode: Included

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