case_images: PMC9195121_01
case_images: Twelve-lead electrocardiogram showing sinus tachycardia, occasional premature atrial complexes, leftward axis, criteria for left atrial enlargement, and right heart strain pattern of S1Q3T3.
case_images: jchimp-12-01-092f1.jpg
case_images: PMC9195121_01_jchimp-12-01-092f1.jpg
case_images: f1-jchimp-12-01-092
case_images: A 12-lead EKG revealed sinus tachycardia with a ventricular rate of 122 beats per minute, occasional premature atrial complexes, leftward axis, criteria for left atrial enlargement, and a right heart strain pattern of S1Q3T3 (Fig. 1). A follow-up CT angiogram of the chest revealed a filling defect consistent with thrombus within the left inferior pulmonary vein extending into the left atrium (Fig. 2, Video 1 (https://scholarlycommons.gbmc.org/cgi/viewcontent.cgi?filename=2&article=1019&context=jchimp&type=additional&preview_mode=1), Video 2 (https://scholarlycommons.gbmc.org/cgi/viewcontent.cgi?filename=3&article=1019&context=jchimp&type=additional&preview_mode=1)), and bilateral airspace disease characterized by multiple small, round areas of patchy consolidation, with some having cavitation.
case_images: CT angiogram of the chest (axial slices) revealing a filling defect consistent with thrombus within the left inferior pulmonary vein extending into the left atrium.
case_images: jchimp-12-01-092f2.jpg
case_images: PMC9195121_01_jchimp-12-01-092f2.jpg
case_images: f2-jchimp-12-01-092
case_images: A follow-up CT angiogram of the chest revealed a filling defect consistent with thrombus within the left inferior pulmonary vein extending into the left atrium (Fig. 2, Video 1 (https://scholarlycommons.gbmc.org/cgi/viewcontent.cgi?filename=2&article=1019&context=jchimp&type=additional&preview_mode=1), Video 2 (https://scholarlycommons.gbmc.org/cgi/viewcontent.cgi?filename=3&article=1019&context=jchimp&type=additional&preview_mode=1)), and bilateral airspace disease characterized by multiple small, round areas of patchy consolidation, with some having cavitation.