case_images: PMC8106801_01
case_images: chest X-ray showing right basal pulmonary opacity, cardiomegaly at the expense of the right cavities, convex left middle arch
case_images: PAMJ-38-185-g001.jpg
case_images: PMC8106801_01_PAMJ-38-185-g001.jpg
case_images: F1
case_images: The chest X-ray found left middle arch of the heart convex, right basal pulmonary opacity, bilateral interstitial syndrome (Figure 1).
case_images: thoracic CT in axial section: A) pulmonary window showing multifocal ground glass foci and scattered of the two pulmonary hemi-fields of subpleural arrangement (white stars); B) with injection of contrast product showing left segmental pulmonary embolism (black arrow)
case_images: PAMJ-38-185-g002.jpg
case_images: PMC8106801_01_PAMJ-38-185-g002.jpg
case_images: F2
case_images: The chest computed tomography with and without injection of contrast product found multifocal ground glass foci (10-25% impairment) of the two pulmonary hemi fields located under pleural with segmental and sub-segmental left pulmonary embolism (Figure 2).
case_images: electrocardiogram showing S1Q3 aspect, incomplete right bundle branch block, anteroseptoapical and inferior negative T wave
case_images: PAMJ-38-185-g003.jpg
case_images: PMC8106801_01_PAMJ-38-185-g003.jpg
case_images: F3
case_images: T wave, S1Q3 aspect (Figure 3). The transthoracic ultrasound showed an acute pulmonary heart without right ventricular dysfunction, hypertension at 54 mmhg with dilated lower vena cava (Figure 4).
case_images: transthoracic ultrasound showing: A) right ventricular dilation; B) tricuspid insufficiency flow; C) dilated lower vena cava
case_images: PAMJ-38-185-g004.jpg
case_images: PMC8106801_01_PAMJ-38-185-g004.jpg
case_images: F4
case_images: T wave, S1Q3 aspect (Figure 3). The transthoracic ultrasound showed an acute pulmonary heart without right ventricular dysfunction, hypertension at 54 mmhg with dilated lower vena cava (Figure 4).