Case

A 70-year-old woman, non-smoker, with previous SARS-CoV-2 infection 6 months ago and 1-month history of cough and expectoration, presented with acute left pleuritic pain and progressive dyspnoea. She was referred to the emergency department, where a chest X-ray showed a left pleural effusion. To exclude a pulmonary embolism (PE), a CT pulmonary angiogram (CTPA) was performed. It demonstrated a filling defect within the trunk of the pulmonary artery, both main pulmonary arteries and the left segmental pulmonary arteries by a poorly enhancing hypodense lesion. Also, a pleural-based triangular consolidation in the left upper lobe (LUL) and a left pleural effusion were seen (figure 1). The patient was diagnosed with acute and chronic PE with LUL pulmonary infarction and was treated with systemic anticoagulation. After clinical …