Pulmonar y Embolism Radiolog y
clot detaches
·
Pulmonary embolism occurs when a blood
the system and lodges
from peripheral venous in the
its
pulmonary artery
or branches.
Pulmonary infarction is the lesion that develops
secondary to
pulmonary embolus.
In mostcases
·
of pulmonary embolism, CXR:
Normal.
Pulmonary embolism (XR
findings:
Hampton's hump: Triangular wedge shaped opacity.
i
Base towards towards
periphery & centre.
·
apex
to
infarctwithin
Due the
·
lungs as a result
of pulmonary embolism.
Hampton's, --
hump !
. Over the time, this
infarct resolves
firstfrom
the
periphery then towards the centre like
a
melting rice, thus called Melting ice cube
sig 2.
is Fleischner's sign: Enlarged/prominentright main
pulmonary artery.
is Palla's sign: prominentright
descending artery.
ivs knuckle sign: Prominentright
decending artery
with an abruptcut of f
in Westermark sign: Focal oligema
CE-CT
Thrombus seen
directly in
pulmonary artery
·
as a
non-enhancing filling defect.
Polomint sign: Thrombus lies at the center
of
·
Blood vessel.
62-year-old male presented with chest pain and was diagnosed with pulmonary thromboembolism.
Contrast-enhanced axial image of CT chest shows central embolus with peripheral contrast in a
right pulmonary artery branch (white arrow) producing the radiologic sign, polo mint sign. (b) 38-
year-old female with chronic renal failure presented with swelling of whole body and was diagnosed
with superior vena cava obstruction due to thrombus. Contrastenhanced CT scan of chest shows
central embolus with peripheral contrast in the superior vena cava (white arrow) producing the
radiologic sign, polo mint sign -
*
-
C
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