Presentation
The patient came with acute shortness of breath and fever
Patient Data
Age: 35 years
Gender: Female
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We see a complete obliteration of the left pulmonary artery and the segment arteries. Signs of chronic pulmonary hypertension with a diameter of the pulmonary trunk of approximately 4 cm. Lobar pneumonia on the right in the middle lobe. Reactive mediastinal and hilar lymphadenopathy.
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Central pulmonary embolism on the left side.
Case Discussion
Retrospective compared to an earlier study six years ago, the cause of the obliteration of the left pulmonary artery is a chronic central pulmonary embolism.
The cause of the acute dyspnea would be the lobar pneumonia in the right middle lobe.
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