PMC4457096_01
CT scan of the chest with contrast. The red arrows depict bilateral near occlusive pulmonary emboli
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PMC4457096_01_12878_2015_25_Fig1_HTML.jpg
Fig1
She underwent computerized tomography (CT) of the chest which revealed a nearly occlusive thrombus in the bilateral lower lobar arteries extending into the segmental arteries (Fig. 1).
CT scan of the chest with contrast. The yellow arrow depicts enlarged main pulmonary arterial trunk
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PMC4457096_01_12878_2015_25_Fig2_HTML.jpg
Fig2
The main pulmonary arterial trunk was noted to be enlarged with evidence of right heart strain (Fig. 2).
A. CT scan of the chest with contrast. Coronal section showing bilateral bilobed lungs (yellow arrows depict the major fissure). B. CT scan of the abdomen. The arrow points to multiple splenic lobules suggestive of polysplenia. C. CT scan of the abdomen. Coronal section showing azygous continuation of inferior vena cava
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PMC4457096_01_12878_2015_25_Fig3_HTML.jpg
Fig3
These included left-sided superior vena cava (SVC) draining into the left coronary sinus, hemiazygous vein drains into left SVC, absent azygous vein, absent (interrupted) inferior vena cava (IVC) below the hepatic IVC with persistent left IVC which drains into left coronary sinus, polysplenia, bilateral left lung and benign hepatic hemangioma (Fig. 3A-C).