EURORAD ESR

Case 13162

A strange case of pulmonary embolism

Author(s)
Robella Mattia1, Cortese Giancarlo2, Bertucci Roberto3

1 Radiology Institute, Surgical Science Department, University of Torino, City of Health and Science, Torino, Via Genova 3
2 Radiology Department, Maria Vittoria Hospital, Torino
3 Infective Disease 2 Department, Amedeo di Savoia Hospital, Torino
 
Patient
male, 78 year(s)
 
 
  • Figure 1
    Chest X-ray

    Chest X-ray shows multiple bilateral nodular opacities (arrows) associated with parenchymal bands

     
    Area of Interest: Thorax; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 2
    CT
     

    These images demonstrate hypodense filling defects in the right middle lobe artery and in a segmental artery of left inferior lobe, compatible with embolism.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    These images demonstrate hypodense filling defects in right middle lobe artery and in a segmental artery of left inferior lobe, compatible with embolism.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    There are multiple bilateral tubular polilobulated opacities extending from the hylum to the peripheral zones of both lungs. The opacities have variable diameter (maximum 15 mm) and seem to be in continuity with...

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    A large multiloculated partly calcified echinococcal cyst is seen in III-IV hepatic segment; the lesion is in continuity with the left hepatic vein, which is not detectable, being filled with hypodense material.

     
    Area of Interest: Abdomen; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    A large multiloculated partly calcified echinococcal cyst is seen in III-IV hepatic segment; the lesion is continuity with left hepatic vein, which is not detectable, being filled with hypodense material.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
  • Figure 3
    Follow up CT
     

    Follow up CT shows a marked increase of the pulmonary artery tree involvement.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;

    Follow up CT shows a marked increase of the pulmonary artery tree involvement.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Embolism / Thrombosis;
     
     
Chest X-ray shows multiple bilateral nodular opacities (arrows) associated with parenchymal bands
 
These images demonstrate hypodense filling defects in the right middle lobe artery and in a segmental artery of left inferior lobe, compatible with embolism.
 
These images demonstrate hypodense filling defects in right middle lobe artery and in a segmental artery of left inferior lobe, compatible with embolism.
 
There are multiple bilateral tubular polilobulated opacities extending from the hylum to the peripheral zones of both lungs. The opacities have variable diameter (maximum 15 mm) and seem to be in continuity with pulmonary arteries.
 
A large multiloculated partly calcified echinococcal cyst is seen in III-IV hepatic segment; the lesion is in continuity with the left hepatic vein, which is not detectable, being filled with hypodense material.
 
A large multiloculated partly calcified echinococcal cyst is seen in III-IV hepatic segment; the lesion is continuity with left hepatic vein, which is not detectable, being filled with hypodense material.
 
Follow up CT shows a marked increase of the pulmonary artery tree involvement.
 
Follow up CT shows a marked increase of the pulmonary artery tree involvement.
 
 
 
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