PMC3789280_01
CT Chest with pulmonary angiogram. There is complete occlusion of the descending branch of the right pulmonary arteries to the right lower lobe (Red arrow). Multiple small pulmonary artery emboli were also seen in the left lobe (White arrows).
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fig1
CXR showed increased congestive changes without evidence of acute infiltrates. Chest CT scan with contrast was obtained which showed complete thrombosis of the branch of the pulmonary artery to the right lower lobe with subsequent lung infarction and multiple small pulmonary artery emboli in the left lobe with small areas of infarction involving left lower lobe, portions of the lingula and middle lobe; findings were confirmed by CT pulmonary angiogram (Figure 1).