Pulmonary cement embolism

Case contributed by Ibrahim Alsheikh Deeb


Chest pain


Linear densities are seen in the right upper lobe.

No air space disease is seen.

There is blunting of the costophrenic angles.

The patient is status post vertebroplasty of L1 vertebra. Linear vertically-oriented density is seen adjacent to the L1 and L2 vertebrae representing cement extravasation in a paravertebral vein.

Annotated image

Linear densities representing pulmonary cement emboli (circle).

Extravasation in a paravertebral vein (arrow).

Case Discussion

Findings in the chest are in keeping with pulmonary cement embolism.

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