case_images: PMC9536966_01
case_images: Computed tomography and pulmonary angiography of the chest in the index patient showing near complete occlusion of both right and left pulmonary arteries.
case_images: CRIPU2022-9596285.001.jpg
case_images: PMC9536966_01_CRIPU2022-9596285.001.jpg
case_images: fig1
case_images: There were also fibrotic streaks on the anterior aspect of the right middle lung lobe and evidence of thoracic spondylosis. (Figure 1) The echocardiogram revealed a dilated right atrium, dilated right ventricle, grade 1 diastolic dysfunction, moderate pulmonary hypertension, and poor right ventricular systolic function with an ejection fraction of 75.18% and minimal pericardial effusion.