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Volume 154, Issue 4, Pages e107-e111 (October 2018)

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Presentation on theme: "Volume 154, Issue 4, Pages e107-e111 (October 2018)"— Presentation transcript:

1 Volume 154, Issue 4, Pages e107-e111 (October 2018)
A 62-Year-Old Woman With Acute Respiratory Failure and a Painful Right Lower Limb  David Lagier, MD, Marine Gaudry, MD, Hubert Lepidi, MD, PhD, Cindy Perron, MD, Catherine Guidon, MD  CHEST  Volume 154, Issue 4, Pages e107-e111 (October 2018) DOI: /j.chest Copyright © 2018 American College of Chest Physicians Terms and Conditions

2 Figure 1 Bilateral pulmonary edema and right-sided pleural effusion on the chest radiograph. CHEST  , e107-e111DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

3 Figure 2 Long-axis parasternal view with transthoracic echocardiography revealed (A) thickening of the aortic cusps and (B) severe aortic regurgitation with color Doppler imaging. CHEST  , e107-e111DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

4 Figure 3 Three-dimensional reconstruction of CT angiography (left anterior oblique view) showing the site of thrombosis in the right external iliac artery. Calcified aortic bifurcation and common iliac arteries are shown. Residual perfusion of the right femoral artery results from a branch of the internal iliac artery. CHEST  , e107-e111DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

5 Figure 4 Pathologic analysis of the aortic valve. Note the bland thrombus (yellow asterisk) to the valvular surface (white asterisk). The valve tissue and the thrombus are devoid of inflammation (hematoxylin-eosin-saffron, original magnification ×25). CHEST  , e107-e111DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions

6 Figure 5 18F-fluorodeoxyglucose PET/CT imaging revealed (A) a retrocardiac hypermetabolic lesion of the right lung and (B) hypermetabolic lesions in the left subclavian lymph nodes. CHEST  , e107-e111DOI: ( /j.chest ) Copyright © 2018 American College of Chest Physicians Terms and Conditions


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