Cement embolism

Case contributed by Jayanth Keshavamurthy , 10 Dec 2015
Diagnosis certain
Changed by Henry Knipe, 12 Dec 2015

Updates to Case Attributes

Presentation was changed:
84 y/o admitted w/Admitted with COPD exac and possible CVA w/with witnessed aspiration.
Body was changed:

This is likely chronic and nothing to do now.

Cement Cement embolism is a well known complication of vertebroplasty.

One One should know in backgroundof this procedure and complication when reading radiographs.

  • -<p>This is likely chronic and nothing to do now.</p><p> </p><p>Cement embolism is a well known complication of vertebroplasty.</p><p> </p><p>One should know in background this complication when reading radiographs.</p>
  • +<p>This is likely chronic and nothing to do now. Cement embolism is a well known complication of vertebroplasty. One should know of this procedure and complication when reading radiographs.</p>

Updates to Study Attributes

Findings was changed:

1. The linear densities should not be there inin the lungs.

2. Some one can argue it is retained guide wire-lessguidewire - less likely as it is toovery dense, discontinuous and when you window on CT it is tubular like a vessel.

Updates to Study Attributes

Caption was removed:
Name the procedure and what complication is seen here.
Findings was changed:

IMPRESSION:1.

  1. Radiopaque linear density overlying the right hilum, concerning for cement embolization. Further evaluation with CT chest without contrast is recommended.

    2.

  2. Right upper lobe calcific density, which may represent a calcified granuloma or additional cement embolization.

    3.

  3. Thoracic vertebroplasty.

    4.

  4. Dense mitral valve annular calcification.

Updates to Quizquestion Attributes

Question was added:
What procedure has been performed?
Answer was added:
Vertebroplasty.

Updates to Quizquestion Attributes

Question was added:
What complication is seen?
Answer was added:
Embolism of cement material.

Updates to Quizquestion Attributes

Question was changed:
NameWhat are some complications of verebroplastyvertebroplasty with PMMA cement. Polymethyl(polymethyl methacrylate) cement.?
Answer was changed:
1.(1) Cement pulmonary embolism ( 5(5-25%). 2.(2) Cardiac perforation.Requring. Requiring surgery. 3.(3) Spinal cord involvement from epidural veins, spinal cord involvement, disc involvement requiring spinal surgery..

Updates to Quizquestion Attributes

Question was changed:
If you suspect cement embolism what is the next best study.?
Answer was changed:
Non contrast CT scan fromof the chest through the area of vertebroplasty.

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