Pulmonary thromboembolism on MRI

Case contributed by Vincent Tatco
Diagnosis almost certain

Presentation

Shortness of breath. Echocardiography showed signs of pulmonary arterial hypertension.

Patient Data

Age: 45 years
Gender: Female

Filling defects, likely thromboemboli, are demonstrated within both pulmonary arteries.

The right ventricle is enlarged with bowing of the interventricular septum towards the left ventricle reflective of right ventricular strain.

Minimal pericardial effusion is seen.

Incidentally, there are hepatic cysts.

Case Discussion

This is a case of pulmonary thromboembolism with right ventricular strain demonstrated on magnetic resonance imaging (MRI).

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