Pulmonary emboli, right ventricular strain and incidental double SVC

Case contributed by Assoc Prof Craig Hacking


New chest pain, recent craniotomy for primary CNS tumor.

Patient Data

Age: 65 years
Gender: Male

Multiple pulmonary artery filling defects are seen in bilateral lobar and segmental branches in keeping with multiple pulmonary emboli. Mild enlargement of the right ventricle and bowing of the interventricular septum in keeping with RV strain. Mild cardiomegaly.

Incidental double SVC, with the left SVC draining into the mildly enlarged coronary sinus (a normal anatomic variant). No pericardial effusion. No hilar or mediastinal lymphadenopathy. Patchy atelectasis in the lung bases. No pleural effusion.

The upper abdominal viscera are unremarkable. No focal bone abnormality.


  1. Multiple lobar and segmental PEs (moderate burden) with signs of right heart strain.
  2. Incidental double SVC.
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Case information

rID: 40183
Published: 12th Oct 2015
Last edited: 14th Aug 2019
System: Chest, Vascular
Inclusion in quiz mode: Included

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