Presentation
SCC tongue on chemoradiotherapy, left leg DVT, pleuritic chest pain, shortness of breath and tachycardia. Wells score 8.5, Revised Geneva score 14
Patient Data
Age: 65 years
Gender: Female
From the case:
Pulmonary embolism
Frontal
Normal cardio-mediastinal contour other than mild prominence of central pulmonary arteries with relative pruning of peripheral vessels. Normal Lung parenchyma.
From the case:
Pulmonary embolism
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Axial C+ CTPA
Good contrast opacification of the pulmonary arteries. There are filling defects bilaterally in the lobar, segmental and subsegmental pulmonary arteries - In keeping with pulmonary emboli. No evidence of right heart strain. Subpleural atelectasis in the left base. Incidental large hiatus hernia with proximal stomach lying in the thorax.
Case Discussion
In keeping with acute bilateral pulmonary embolism without right heart strain.
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