case_images: PMC9858885_01
case_images: CTPA of the chest showing no signs of pulmonary embolism, patchy ground glass opacities within the lingula and left lower lobe, mild dependent changes with subsegmental atelectasis within the bilateral lower lobes, and mildly enlarged main pulmonary artery (black arrows). CTPA: computed tomography pulmonary angiogram
case_images: cureus-0015-00000033988-i01.jpg
case_images: PMC9858885_01_cureus-0015-00000033988-i01.jpg
case_images: FIG1
case_images: An elevated D-dimer prompted chest computed tomography pulmonary angiogram (CTPA) (Figure 1), which revealed no signs of pulmonary embolism, patchy ground glass opacities within the lingula and left lower lobe, mild dependent changes with subsegmental atelectasis within the bilateral lower lobes, and mildly enlarged main pulmonary artery, suggestive of underlying pulmonary artery hypertension, with an upright X-ray showing signs of cardiomegaly (Figure 2).
case_images: Upright X-ray showing mild cardiomegaly (black arrows). X-ray: X-radiation
case_images: cureus-0015-00000033988-i02.jpg
case_images: PMC9858885_01_cureus-0015-00000033988-i02.jpg
case_images: FIG2
case_images: An elevated D-dimer prompted chest computed tomography pulmonary angiogram (CTPA) (Figure 1), which revealed no signs of pulmonary embolism, patchy ground glass opacities within the lingula and left lower lobe, mild dependent changes with subsegmental atelectasis within the bilateral lower lobes, and mildly enlarged main pulmonary artery, suggestive of underlying pulmonary artery hypertension, with an upright X-ray showing signs of cardiomegaly (Figure 2).
case_images: ECG on admission depicting tachycardia and ventricular hypertrophy in leads 4-6. ECG: electrocardiography
case_images: cureus-0015-00000033988-i03.jpg
case_images: PMC9858885_01_cureus-0015-00000033988-i03.jpg
case_images: FIG3
case_images: Electrocardiography (ECG) revealed sinus tachycardia and left ventricular hypertrophy (LVH) (Figure 3).
case_images: 2D Doppler echocardiogram showing an EF of 36%. 2D: two dimensional, EF: ejection fraction
case_images: .jpg
case_images: PMC9858885_01_.jpg
case_images: VID1
case_images: Nuclear medicine myocardial perfusion single-photon emission computed tomography (SPECT) at rest and stress indicated no evidence of a fixed defect or stress-induced ischemia (Figure 4).