PMC5830964_01
The right lower limb was noted to be larger than the left lower limb on arrival to the Emergency Department.
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fig1
After confirming correct endotracheal tube placement, he was noted to have significant swelling of his entire right lower limb (Figure 1).
Coronal slice contrast enhanced computed tomography pulmonary angiography. The arrow demonstrates a large filling defect (pulmonary embolus) in the right pulmonary artery with an oligaemic right lung field.
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fig2
An area of hyperdensity in the posterior right lung region, suggestive of an intra-alveolar haemorrhage, was also noted on CTPA as well as on the post-thrombolysis but not the pre-thrombolysis chest X-ray films (Figures 2 and 3).
Left parasagittal contrast enhanced computed tomography pulmonary angiography. The arrow points to a large filling defect (pulmonary embolus) in the left pulmonary artery.
CRIEM2018-8076808.003.jpg
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fig3
An area of hyperdensity in the posterior right lung region, suggestive of an intra-alveolar haemorrhage, was also noted on CTPA as well as on the post-thrombolysis but not the pre-thrombolysis chest X-ray films (Figures 2 and 3).