PMC4821330_01
X-ray showing no infiltrate, atelectasis or effusion.
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Chest radiogram failed to show any gross infiltrate, atelectasis or effusion (Fig. 1).
(A and B): CTPA showing pulmonary emboli in bilateral pulmonary arteries (Arrows).
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CT pulmonary angiogram revealed filling defects in both the pulmonary arteries (Fig. 2A and B) with no pulmonary infarction.
Apical four chamber view of 2D Echo revealing bowing of the inter-ventricular septum and right-sided enlargement (RV/LV > 1) suggestive of massive pulmonary embolism.
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2D echocardiogram showed increased right ventricular size and bowing of the septum into the left ventricle (Fig. 3) with elevated PA pressure (64 mmHg).
Venous Doppler showing lack of compressibility of the left femoral vein (white arrow) suggestive of the presence of deep vein thrombosis.
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Vascular venous doppler of the legs confirmed the presence of deep vein thrombosis in the left leg (Fig. 4).