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Thorax 2009;64:1011 doi:10.1136/thx.2008.111211
  • Images in Thorax

A suspicious clot

  1. P Lee1,
  2. F-K Cheah2,
  3. J Huang2,
  4. D Poon3,
  5. C-M Loo1
  1. 1
    Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore
  2. 2
    Department of Diagnostic Radiology, Singapore General Hospital, Singapore
  3. 3
    Medical Oncology, National Cancer Centre, Singapore
  1. Correspondence to Dr P Lee, Department of Respiratory and Critical Care Medicine, Singapore General Hospital, Outram Road, Singapore 169608; lee.pyng{at}sgh.com.sg
  • Accepted 21 January 2009

A 72-year-old man presented with right-sided pleuritic chest pain, chronic cough and weight loss. Chest x ray revealed a moderate sized pleural effusion. Chest CT showed thromboembolism of the right main pulmonary artery, and pleural effusion with compression atelactasis of the right lower lobe of the lung (fig 1). As the thrombus appeared suspicious, being unilateral, central and occupying the entire lumen of the pulmonary artery without abnormality in the contralateral lung, magnetic resonance arteriography was performed which showed heterogeneous enhancement (fig 2). Positron …

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