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A Woman in Her 70s With Profound Hypoxemia

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Presentation on theme: "A Woman in Her 70s With Profound Hypoxemia"— Presentation transcript:

1 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: /j.chest Copyright © 2016 American College of Chest Physicians Terms and Conditions

2 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  , e13-e17DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions

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

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

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

6 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  , e13-e17DOI: ( /j.chest ) Copyright © 2016 American College of Chest Physicians Terms and Conditions


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