Pulmonary embolism and infarct

Case contributed by RMH Core Conditions

Presentation

Increasing shortness of breath and mild fevers over past three weeks. Tachycardia and hypotension.

Patient Data

Age: 79
Gender: Male

The right ventricle is grossly distended (right ventricular cavity larger than left). Bilateral large pulmonary emboli.

Peripheral wedge-shaped opacities in the right middle lobe and left lower lobe in keeping with infarcts. 

Case Discussion

Pulmonary infarct will appear as wedge-shaped peripheral consolidation. Consolidation occurs secondary to hemorrhage due to the lung's dual blood supply from the pulmonary and bronchial arteries. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.