PMC5390674_01
Photograph of ECG demonstrating a small Q wave with S and T waves that can be seen in lead III, the inferior leads (II, III, and aVF), T wave inversions in the right precordial leads (V1-4), and clockwise rotation-shift of the R/S transition point towards V6 with a persistent S wave in V6, all consistent with pulmonary embolism (settings: 25 mm/s and 10 mm/mV).
CRIEM2017-4316928.001.jpg
PMC5390674_01_CRIEM2017-4316928.001.jpg
fig1
An electrocardiogram (ECG) showed changes consistent with PE which reverted to normal on patient's recovery (Figure 1).
(a) CT pulmonary angiogram axial image showing a large filling defect in the right and left main pulmonary arteries affecting supply to both lobes of the lungs (see arrows). (b) CT pulmonary angiogram coronal view depicting large filling defects in the right and left main pulmonary arteries and bilateral lobar pulmonary arteries with bilateral lower lobe pulmonary atelectasis (see arrows).
CRIEM2017-4316928.002.jpg
PMC5390674_01_CRIEM2017-4316928.002.jpg
fig2
Tomography Pulmonary Angiogram (CTPA) showed large filling defects in both main pulmonary arteries and bilateral lobar pulmonary arteries with bilateral lower lobe pulmonary atelectasis (Figures 2(a) and 2(b)). Transthoracic echocardiography, chest X-ray, and CT scan of abdomen and pelvic were reported to be normal.