Bilateral pulmonary emboli


This patient had been an in-patient for over a fortnight and attended for review after a weekend at home.  She described acute dyspnea and was borderline hypotensive with a normal heart rate.

On the basis of her symptoms and the scan, she was re-admitted and treated with low molecular weight heparin and warfarinised.  Her d-dimer was in the thousands and re-examination of the ECG showed the S1Q3T3 phenomenon associated with pulmonary emboli.