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Pulmonary embolism

Case contributed by Dr Hani Makky Al Salam

Presentation

Cardiac MRI for pulmonary hypertension to rule out cardiac defects or shunts.

Patient Data

Age: 20 years
Gender: Male
X-ray

Chest Radiograph

Enlarged pulmonary trunk, lungs and pleural spaces are clear. 

MRI

Cardiac MRI

Bilateral segmental pulmonary arteries emboli. 

CT

CTPA

Bilateral pulmonary arteries emboli. 

Nuclear medicine

Bilateral major mismatch defect consistent with high probability pulmonary embolism. 

Case Discussion

The patient was started on thrombolytic therapy and followed up by CTPA which demonstrated the bilateral emboli without significant interval changes.

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