Case of March 2017

 

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Clinical History:


A 27 year old lady presented to A&E with acute shortness of breath and left sided pleuritic chest pain for 1 day. She enjoyed good past health and had recently returned from a 2-week trip in Tibet. On admission, her SaO2 was 97% on 2L oxygen and ECG showed sinus tachycardia (about 110bpm). Un-enhanced and contrast-enhanced computed tomography (CT) of thorax was performed as urgent request to exclude pulmonary embolism.


Fig 1

Figure 1. Axial unenhanced CT thorax


Fig 2

Figure 2. Axial post contrast CT thorax


Fig 3

Figure 3. Axial post contrast CT thorax


Fig 4

Figure 4. Axial post contrast CT thorax


Fig 5

Figure 5. Coronal post contrast CT thorax


Fig 6

Figure 6. Coronal post contrast CT thorax