Acute pulmonary embolism
History of cerebral palsy, seizure disorder, and psychosis presenting with fever and tachycardia.
CT angiography - pulmonary artery
Loading Stack -
0 images remaining
Acute pulmonary embolism seen in segmental branches of pulmonary artery supplying right lower lobe. No evidence of right heart strain seen.
The patient was originally admitted for neuropsychiatric issues. During the admission, she acutely developed fever and tachycardia. Work-up revealed a lower extremity deep vein thrombosis and pulmonary embolism. Patient's hypercoagulability is highly suspicious for hyper-coagulable conditions such as antiphospholipid antibody syndrome, among other differentials.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center
- Dhabhar J, Mehta V, Desai N, Dawoodi S, Zaman SB. Case Report: Unprovoked venous thromboembolism in a young adult male. (2019) F1000Research. 8: 182. doi:10.12688/f1000research.18202.2 - Pubmed
- Bountouris I, Moris D, Tsilimigras DI, Laoutaris G, Kritikou G, Palla VV, Karaolanis G. Pulmonary Embolism in a Young Immunocompetent Adult Infected with Cytomegalovirus. Are Novel Oral Anticoagulants an Efficient Alternative?. (2017) In vivo (Athens, Greece). 31 (6): 1193-1195. doi:10.21873/invivo.11189 - Pubmed