PMC4274647_01
Computed tomographic scan showing consolidations in bilateral lower lungs (a), pulmonary embolism in the right pulmonary artery ((b), white arrowhead), and extensive DVT throughout inferior vena cava to left posterior tibial vein ((c)-(e), black arrowheads).
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An enhanced CT scan showed a PE in the right pulmonary artery with bilateral consolidation in the lungs as well as extensive DVT throughout the inferior vena cava (IVC) to the left posterior tibial vein (Figure 1).
Ventilation and perfusion scan showing multiple areas of mismatch in bilateral lungs on admission (a) and resolved areas of mismatch after anticoagulant therapy (b).
CRIRH2014-271548.002.jpg
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A ventilation-perfusion scintigraphy confirmed multiple areas of mismatch compatible with a PE in both lungs (Figure 2(a)). Ten months later, a follow-up ventilation-perfusion scintigraphy (Figure 2(b)) and CT scan confirmed significant resolution of the previous PE and DVT.