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Pulmonary embolism

Case contributed by Dr Hani Makky Al Salam


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

Patient Data

Age: 20 years
Gender: Male

Chest Radiograph

Enlarged pulmonary trunk, lungs and pleural spaces are clear. 


Cardiac MRI

Bilateral segmental pulmonary arteries emboli. 



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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