Pulmonary embolism

Case contributed by David Cuete
Diagnosis certain


Shortness of breath

Patient Data

Age: 40
Gender: Female

Pulmonary Angiogram


Filling defect on pulmonary arterial phase in the left lobar pulmonary artery consistent with pulmonary embolus. On lung windows there is a wedge-shaped area of consolidation in the left lower lobe. 

Case Discussion

Typical appearances of a large pulmonary emboli.

The site and number of pulmonary emboli should be described: central, main, lobar, segmental or subsegmental vessels.

Associated signs include: straightening of the intraventricular septum from right heart strain or pulmonary infarction.

Signs of chronicity include: main pulmonary artery enlargement or vascular webs. 


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