Pulmonary embolism and infarct

Case contributed by RMH Core Conditions


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. 

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