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Fig. 3 | Insights into Imaging

Fig. 3

From: Cardiothoracic CT: one-stop-shop procedure? Impact on the management of acute pulmonary embolism

Fig. 3

CTPA performed in a 22-year-old male patient complaining of progressive dyspnea and chest pain, revealing extensive pulmonary emboli including the main pulmonary artery with dilatation of the main pulmonary artery (a, diameter 33 mm) and the right side of the heart (b). The wedge-shaped subpleural consolidation (c) is caused by pulmonary infarction (d, pulmonary window setting). Because of the extensive load and the right ventricular dysfunction at CT, the patient was admitted to the ICU for thrombolytic treatment. The patient became hypotensive shortly after arrival but recovered quickly after treatment. The follow-up CTPA after 1 week shows clearance of thrombus from the main pulmonary artery with normalization of its diameter (e, diameter 25 mm) and normalization of the right ventricle. There is still extensive thrombus present on both sides

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