case_images: PMC9859688_01
case_images: Peripheral smear showing hypersegmented neutrophils consistent with megaloblastic anemia from vitamin B12 deficiency.
case_images: CRIM2023-5058771.001.jpg
case_images: PMC9859688_01_CRIM2023-5058771.001.jpg
case_images: fig1
case_images: Peripheral smear showed hypersegmented neutrophils (Figure 1).
case_images: Extensive bilateral pulmonary emboli seen on chest CT angiogram.
case_images: CRIM2023-5058771.002.jpg
case_images: PMC9859688_01_CRIM2023-5058771.002.jpg
case_images: fig2
case_images: Computed tomography (CT) angiography showed extensive bilateral pulmonary embolism involving the right middle, right lower, left upper, and left lower lobar pulmonary arteries (Figure 2).
case_images: PMC9859688_02
case_images: MRI of the cervical spine showing abnormal signal in the posterior columns.
case_images: CRIM2023-5058771.003.jpg
case_images: PMC9859688_02_CRIM2023-5058771.003.jpg
case_images: fig3
case_images: Magnetic resonance imaging (MRI) of the cervical, thoracic, and lumbar spine was performed and revealed an abnormal signal in the posterior columns of the cervical cord and an abnormal signal, more centrally located, in the thoracic cord (Figure 3).