PMC6157385_01
Enlarged right hilar lymph node measuring 2.5 x 1.6cm.
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It was subsequently noted on CT of the thorax that the patient had an enlarged right hilar lymph node measuring 2.5 x 1.6cm, with multiple mediastinal lymph nodes, as well as evidence of centrilobular and paraseptal emphysema (Fig. 1).
Panel A+B: CT Angiogram showing air passing through base of skull along the lacerum segment of internal carotid artery.
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Panel A-C: CT Thorax showing mediastinal haemorrhage.
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Panel A-C: MRI showing right cerebral hemisphere watershed ischaemia with foci of acute infarction.
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Imaging (MRI) found right cerebral hemisphere watershed ischaemia with foci of acute infarction, consistent with the left-sided hemiparesis demonstrated. It was concluded in retrospect that this was an air embolus (Fig. 5).
PMC6157385_02
Panel A: CT Thorax showing right sided hilar lymphadenopathy. Panel B: Mild pulmonary fibrosis.
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69-year-old male with a history of productive cough and recent admission for pneumonia went on to have a CT thorax that reported as a 3 x 2.1 cm soft tissue mass at the right hilum with adjacent hilar lymphadenopathy and mild pulmonary fibrosis on CT thorax (Fig. 6).
Panel A-B: CT Brain showing marked evidence of pneumocephalus in the right MCA and within the right extra-axial space. A confirmation of air embolism.
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