Chronic pulmonary embolism

Case contributed by Dr Chris O'Donnell

Presentation

Elderly lady with recurrent episodes of breathlessness

Patient Data

Age: 85
Gender: Female
CT

Irregular mass arising from the antero-inferior wall consistent with adherent thrombus in the right main pulmonary artery and lower lobe branches.  This should be contrasted with acute embolism that acts as a filling defect in the lumen.   It can sometimes calcify and present clinically as pulmonary hypertension.

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Case information

rID: 17943
Case created: 27th May 2012
Last edited: 16th Oct 2015
Systems: Chest, Vascular
Inclusion in quiz mode: Included

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