case_images: PMC4386195_01
case_images: Computed tomography of the chest (top panel) showing filling defects in the right pulmonary artery (top left) and right atrium (top right) suggesting thrombi. The bottom panel shows 2-D echocardiography showing 'snake-like' thrombi in the right atrium (apical and subcostal views).
case_images: pjms-31-233-g001.jpg
case_images: PMC4386195_01_pjms-31-233-g001.jpg
case_images: F1
case_images: After initial stabilization, urgent computerised tomography scan of the chest was performed that revealed filling defects in the distal main pulmonary artery extending bilaterally up to the interlobar and its segmental branches, consistent with thrombi (Fig.1, top left). It also revealed dilated pulmonary trunk (24 mm) with a filling defect in the right atrium (Fig.1, top right). It showed a free-floating thrombus in the right atrium (RA) with a 'snake-like' configuration (Fig.1, bottom panel).