Pulmonary thromboembolism

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Chest pain, shortness of breath, rapid heart rate and sweating, left leg DVT and high D-dimer at 3621 µg/L.

Patient Data

Age: 60 years
Gender: Male
CT

A hypodense, non-enhancing thrombus is noted straddling the bifurcation of the pulmonary trunk and extending into the right and left main pulmonary arteries, which appear prominent with multiple filling defects seen involving both the upper and lower segmental and subsegmental branches.

Case Discussion

Pulmonary thromboembolism is potentially life-threatening. Cross-sectional imaging is the mainstay of diagnosis. Early diagnosis and treatment improve the outcome.

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