Pulmonary embolism

Case contributed by Dr Hidayatullah Hamidi

Presentation

History of femoral surgery one week ago. The patient has acute dyspnoea and cough for last two days.

Patient Data

Age: 30 years
Gender: Male
CT

Extensive filling defects involving both main pulmonary arteries extending to the lobar and segmental branches.

Ground glass opacity in the left upper lobe suggestive of early pulmonary infarct.

Dilated pulmonary trunk and straightening of the interventricular septum suggestive of pulmonary arterial hypertension and right heart strain

Associated finding is fatty liver.

Case Discussion

Pulmonary embolism refers to embolic occlusion of the pulmonary arterial system.  Clinical signs and symptoms are non-specific. Dyspnoea, chest pain, and haemoptysis are described as a classic triad in pulmonary embolism.

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Case information

rID: 53633
Case created: 28th May 2017
Last edited: 31st May 2017
System: Chest
Inclusion in quiz mode: Included

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