Presentation
Breathlessness and pleuritic chest pain. The clinical diagnosis was of PE.
From the case:
Pulmonary emboli adherent to vessel wall
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/10766/annotated_viewer_json?iframe=true\u0026lang=us"}
.
Case Discussion
The initial view of the CTPA doesn't reveal any large filling defects, but closer inspection reveals clot adherent to walls of both the left and right main pulmonary arteries before their bifurcation.