Presentation
Presented to ER with history of trauma. A few days later the patient started to complain of shortness of breath and change in mental status.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
X ray left tibia and fibula lateral view shows displaced oblique fracture of the mid shaft of tibia and fibula.
Pulmonary embolism was suspected and proved negative in CT pulmonary angiogram, however, newly developed left basal segmental atelectasis was seen.
MRI Brian stroke protocol was advised as clinical suspicious of fat embolism was raised.
MRI brain revealed multiple small foci of hyperintensities on T2 and FLAIR in bilateral periventricular and deep white matter of frontal and parietal lobes, basal ganglia, thalamus and splenium of corpus callosum, showing restricted diffusion.
Case Discussion
The patient was treated conservatively for cerebral embolism and showed significant improvement after 2 weeks. Internal fixation with intramedullary nailing was performed for the fractures.
Special thanks to Dr Anurag Jain and Dr Elholiby Tamer Ibrahim.
Unable to process the form. Check for errors and try again.