case_images: PMC11824605_01
case_images: Contrast-enhanced computed tomography showing extensive bilateral pulmonary thromboembolism (a, blue arrow), retroperitoneal adenopathies, the largest located at the interaortocaval level with approximately 37 x 23 x 15 mm in diameter (b, blue arrow), areas of left kidney ischemia (c, blue arrow) and spleen (d, blue arrow).
case_images: CRIONM2025-9938933.001.jpg
case_images: PMC11824605_01_CRIONM2025-9938933.001.jpg
case_images: fig1
case_images: An abdominal and pelvic CT scan showed retroperitoneal lymphadenopathies, the largest at the interaortocaval level proximally to the aortic bifurcation measuring 37 x 23 x 15 mm in diameter and ischemic areas adjacent to the left kidney and spleen (Figure 1).
case_images: PMC11824605_02
case_images: Diffusion-weighted resonance imaging showing irregular multifocal cerebral foci suggestive of small ischemic acute cardioembolic infarcts bilaterally cerebellar (a) and frontoparietal (b).
case_images: CRIONM2025-9938933.002.jpg
case_images: PMC11824605_02_CRIONM2025-9938933.002.jpg
case_images: fig2
case_images: Although the initial CT scan was negative, diffusion-weighted cranioencephalic magnetic resonance imaging revealed multiple bilateral areas of acute ischemia of embolic origin in the cerebellum and frontoparietal lobes (Figure 2).
case_images: PMC11824605_03
case_images: PMC11824605_04