Acute pulmonary embolism with pulmonary infarct
Acute pleuritic chest pain and tachypnea.
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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.
The patient had no risk factors for venous thromboembolism apart from recent long haul travel.