case_images: PMC11044681_01
case_images: Head CT scan conducted in the emergency department during admission. (A) Cross-sectional view of the petrous part of the temporal bone, (B) cross-sectional view of the pons, (C) coronal section of the radiata, (D) superior section of the frontal lobe. There were no discernible brain lesions observed in any of the examined perspectives.
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case_images: F1
case_images: Imaging studies, including head computed tomography (CT) (Figure 1), chest CT (Figure 2), and echocardiography, revealed no significant abnormalities in the head but indicated multiple infiltrates and partial consolidation in both lungs.
case_images: Chest CT scan conducted in the emergency room during admission. (A) Cross-sectional view of the aortic arch, (B) cross-sectional view of the mitral valve. Widespread pulmonary edema was noted bilaterally in both lungs.
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case_images: F2
case_images: Imaging studies, including head computed tomography (CT) (Figure 1), chest CT (Figure 2), and echocardiography, revealed no significant abnormalities in the head but indicated multiple infiltrates and partial consolidation in both lungs.
case_images: Coronary angiography results after the establishment of ECMO. (A) No apparent stenosis is evident in the angiography of the right coronary artery, (B) no apparent stenosis is observed in the angiography of the left coronary artery.
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case_images: F3
case_images: Figure 3). Following the procedure, the patient was returned to the ICU without additional coronary interventions.
case_images: Repeated head CT on the 4th day after admission. (A) Horizontal cross-section of the petrous part of the temporal bone, (B) horizontal cross-section of the pons, (C) coronal radiata section, (D) superior cross-section of the frontal lobe. Ischemic lesions were identified in the left cerebellum and right occipital lobe, while no discernible lesions were detected in the remaining regions.
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case_images: PMC11044681_01_fcvm-11-1370696-g004.jpg
case_images: F4
case_images: A subsequent CT scan performed on the fourth day with ECMO support, indicated marked improvement in bilateral pulmonary edema and identified denser lesions in the left cerebellar hemisphere and right occipital lobe compared to the initial emergency department CT (see Figure 4).
case_images: Cranial MRI at day 11 after admission. (A-D), MRI plain scan; (E-H), enhanced MRI.
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case_images: F5
case_images: On the eleventh day of admission, a cranial magnetic resonance imaging examination in the operating room (Figure 5), with ventilator support, revealed no apparent brainstem lesions, with results consistent with earlier cranial CT findings.