Presentation
2-day history of dyspnea with significant oxygen requirement. Positive D-dimer study.
Patient Data
Age: 90 years
Gender: Female
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CTPA"}],"caption":{"us":"CT pulmonary angiogram","gb":"CT pulmonary angiogram"},"findings":{"us":"","gb":""},"contributor_login":"anson-chan","case_id":163295,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Large emboli within the bifurcations of the bilateral pulmonary arteries extending into the upper and lower lobe branches.
Dilated main pulmonary arteries and right heart chambers.
Contrast medium reflux into the IVC and hepatic veins.
Horizontal blood/contrast medium level in the IVC indicates stasis.
Hiatus hernia.
Case Discussion
Classic CT findings of large, bilateral pulmonary emboli. After the radiological diagnosis was made, the patient was commenced on treatment with therapeutic dose enoxaparin.
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