Acute pulmonary embolism with pulmonary infarct

Case contributed by Craig Hacking
Diagnosis certain

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.

Case Discussion

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

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