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Saddle pulmonary embolism

Case contributed by Hani Makky Al Salam

Presentation

History of shortness of breath.

Patient Data

Age: 25 years
Gender: Male

Chest

ct

CTPA demonstrates saddle pulmonary embolism, extending to segmental and subsegmental branches of both pulmonary artery branches.

Dilated pulmonary artery and enlarged right ventricle, suggestive of secondary pulmonary arterial hypertension.

ultrasound

Left popliteal vein DVT.

Chest

x-ray

Bilateral peripheral pulmonary opacities. 

Prominent right cardiac border.

Case Discussion

CTPA demonstrates saddle pulmonary embolism with secondary pulmonary arterial hypertension. DVT was confirmed by US Doppler study of the lower limb, as a possible etiology for pulmonary embolism.

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