CT - CT Pulmonary Angiography
Axial C+ CTPA
Coronal C+ CTPA
Oblique C+ CTPA
Oblique C+ CTPA
After checking these findings, what is the next step that must be done by the radiologist?
This is a life-threating condition and as so demands prompt clinical intervention. It is mandatory the immediate communication to the treating team. Usually, each institution has a standard way to do this.
There is diagnostic contrast opacification of the pulmonary arteries. Saddle thrombus within the pulmonary trunk bifurcation and multiple pulmonary emboli within the main pulmonary arteries ramification, especially occluding all the branches to the left lower lobe. Pulmonary trunk is enlarged.
Small focus of opacification in the medial left lower lobe segment, nonspecific, may be related with the infarct. The lungs are otherwise clear.
The pleural spaces are clear. There is no lymph node enlargement or other mediastinal abnormality.
Fatty liver is demonstrated in the partially imaged upper abdomen.
Conclusion: Massive bilateral pulmonary embolism.
The treating team was contacted and are aware of the findings of this exam.