PMC7204351_01
Chest x-ray.
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The patient arrived to our medical intensive care unit (MICU) overnight with severe ARDS (P/F of 90) secondary to pancreatitis (Figure 1).
Electrocardiogram.
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The patient's ECG at the time of arrival revealed sinus tachycardia with HR in the 150 s, incomplete right bundle branch block (RBBB), and S1Q3T3 morphology (Figure 2).
Echocardiogram.
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Given the patient's hemodynamic instability on presentation, transthoracic echocardiogram was obtained that revealed a severely dilated right ventricle (RV) with moderately reduced function (Figure 3).
Computed tomography.
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Multiple pulmonary emboli were identified involving the distal right main pulmonary artery and multiple lobar pulmonary arteries (Figure 4).