A Woman in Her 70s With Profound Hypoxemia

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A Woman in Her 70s With Profound Hypoxemia Joseph P. Mathew, MD, FCCP, Ismini Kourouni, MD, Shaun Noronha, MD, Gopal Narayanswami, MD, FCCP, Janet M. Shapiro, MD, FCCP CHEST Volume 150, Issue 1, Pages e13-e17 (July 2016) DOI: 10.1016/j.chest.2016.02.688 Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 1 CT scan of the abdomen and pelvis without contrast: 25 × 25 × 25 cm heterogeneously enhancing mass in the pelvis, extending to the upper abdomen, likely uterine in origin. CHEST 2016 150, e13-e17DOI: (10.1016/j.chest.2016.02.688) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 2 Chest radiograph showing clear lung fields. CHEST 2016 150, e13-e17DOI: (10.1016/j.chest.2016.02.688) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 3 Normal sinus rhythm, new incomplete right brunch block, S1Q3T3 pattern. CHEST 2016 150, e13-e17DOI: (10.1016/j.chest.2016.02.688) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 4 CT angiogram of the chest. Extensive pulmonary emboli noted with tubular serpiginous clot noted in main pulmonary artery with saddle embolus. CHEST 2016 150, e13-e17DOI: (10.1016/j.chest.2016.02.688) Copyright © 2016 American College of Chest Physicians Terms and Conditions

Figure 5 Large soft, brown and dark red, elongated and cylindrical pieces of tissue consistent with clot, measuring 0.1 to 1.3 cm in diameter, with a total length of 24.5 cm. CHEST 2016 150, e13-e17DOI: (10.1016/j.chest.2016.02.688) Copyright © 2016 American College of Chest Physicians Terms and Conditions