Presentation
Emergency department presentation. Seizure, GCS 4. No history of trauma. No known recent intervention or surgery. Known lung tumor - histology unknown (resected elsewhere).
Patient Data
Multiple intra-axial air bubbles, predominantly right cerebral hemisphere.
Huge right lung mass.
Pre-operative MRI demonstrates large heterogeneously enhancing mass in the right lung.
Radiograph at current presentation: patient intubated. Right perihilar surgical clips. Interval resection of tumor (done elsewhere, so no details available).
Case Discussion
Cerebral air embolism, presumably related to pulmonary pathology (large right-sided lung mass resected sometime in the past 2 years, histology unknown).
The patient was transferred to the treating hospital for hyperbaric oxygen therapy.