Pulmonary embolism with lung infarcts

Case contributed by Sachintha Hapugoda

Presentation

Sudden onset pleuritic chest pain and dyspnea. History of unprovoked pulmonary emboli. Non-compliant with warfarin.

Patient Data

Age: 45 years
Gender: Male

Small right sided pleural effusion is present with a wedge shaped infiltrate in the right middle zone.

There is a large right sided pulmonary embolus occupying the distal part of the right pulmonary artery. There is a small right sided pleural effusion with right sided peripheral subpleural changes consistent with pulmonary infarcts. No evidence of right heart strain or pulmonary hypertension.

Case Discussion

This is a case of a large pulmonary embolus with associated pulmonary infarcts. The patient had a history of unprovoked pulmonary emboli and had been non-compliant with his warfarin.

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