Saddle pulmonary embolism

Case contributed by Dr Ian Bickle

Presentation

Acute shortness of breath. Raised D-dimer. PE?

Patient Data

Age: 61
Gender: Female
CT

Thrombus straddling the pulmonary trunk.

Extensive lobar and segmental thrombi in both lungs, some of which, such as the right lower lobe pulmonary artery, demonstrate the 'polo mint' sign.

Lungs clear.

Case Discussion

Central pulmonary embolus which straddles (or saddles) the pulmonary trunk is termed a saddle embolus.  This reflects it symmetrical appearance like that of a saddle over a horses back.

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Case information

rID: 50389
Published: 6th Jan 2017
Last edited: 12th Apr 2018
System: Chest
Tag: rdgh
Inclusion in quiz mode: Included

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