Dual-energy CTPA

Case contributed by Dr Yune Kwong

Presentation

Pleuritic chest pain.

Patient Data

Age: 50 years old
Gender: Female
Modality: CT

On conventional CTPA images, an apparent filling defect (arrow) is seen in a subsegmental right lower lobe pulmonary vessel. It was not immediately clear if this was in an artery or vein. The dual-energy scan allows acquisition of iodine perfusion maps at the same time as conventional CTPA, and it shows a wedge-shaped perfusion defect correlating to the position of the filling defect on CTPA. This increases the level of confidence that the abnormality seen represents a pulmonary embolism. The iodine perfusion defect very much resembles a ventilation/perfusion scan perfusion abnormality.

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Case Information

rID: 30572
Case created: 19th Aug 2014
Last edited: 5th Dec 2016
System: Chest
Inclusion in quiz mode: Included

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