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Diagnosis of pulmonary embolism by endobronchial ultrasound.

Goyal R, Chachra V, Gogia P - Lung India (2015 Nov-Dec)

Bottom Line: This is a case report of a young 20-year-old male who was referred for an endobronchial ultrasound (EBUS) procedure to investigate a fever and a left hilar lymph node and patchy pleural-based opacities seen on CT of the chest.During the EBUS procedure besides the left hilar node, a large thrombus was noticed in the main pulmonary artery and another one in the right pulmonary artery.EBUS proved invaluable in making a diagnosis in an unsuspected case of pulmonary embolism.

View Article: PubMed Central - PubMed

Affiliation: Centre for Respiratory Diseases, Jaipur Golden Hospital, Delhi, India.

ABSTRACT
This is a case report of a young 20-year-old male who was referred for an endobronchial ultrasound (EBUS) procedure to investigate a fever and a left hilar lymph node and patchy pleural-based opacities seen on CT of the chest. During the EBUS procedure besides the left hilar node, a large thrombus was noticed in the main pulmonary artery and another one in the right pulmonary artery. EBUS proved invaluable in making a diagnosis in an unsuspected case of pulmonary embolism.

No MeSH data available.


Related in: MedlinePlus

CT Pulmonary angiography (CTPA) with thrombus in main pulmonary artery
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Figure 5: CT Pulmonary angiography (CTPA) with thrombus in main pulmonary artery

Mentions: A 21-year-old man had been running fever and cough with chest pain for a fortnight and was being treated at another hospital. Clinical examination was unremarkable and initial investigations showed a slightly raised total leucocyte count-11400/cmm and a normal X-ray Chest. A contrast-enhanced CT scan of the chest showed patchy infiltrates in the lung periphery and left hilar lymphadenopathy [Figures 1 and 2]. He was referred to our unit for a bronchoscopy and EBUS evaluation of the left hilar lymph node. The bronchoscopy did not reveal any abnormality and we proceeded to the EBUS examination. During the routine initial examination of all the lymph nodal stations it was found that besides a left hilar node there was a large hyperechoeic shadow occupying the lumen of the main pulmonary artery and another similar opacity though smaller shadow, in the right pulmonary artery [Figures 3 and 4]. The procedure was completed, by taking transbronchial needle aspirations from the left hilar node. It was assumed that the intravascular opacities were due to thrombi and this was immediately confirmed by performing a CT pulmonary angiography where filling defects were seen in the pulmonary artery and its branches [Figures 5-7].


Diagnosis of pulmonary embolism by endobronchial ultrasound.

Goyal R, Chachra V, Gogia P - Lung India (2015 Nov-Dec)

CT Pulmonary angiography (CTPA) with thrombus in main pulmonary artery
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663865&req=5

Figure 5: CT Pulmonary angiography (CTPA) with thrombus in main pulmonary artery
Mentions: A 21-year-old man had been running fever and cough with chest pain for a fortnight and was being treated at another hospital. Clinical examination was unremarkable and initial investigations showed a slightly raised total leucocyte count-11400/cmm and a normal X-ray Chest. A contrast-enhanced CT scan of the chest showed patchy infiltrates in the lung periphery and left hilar lymphadenopathy [Figures 1 and 2]. He was referred to our unit for a bronchoscopy and EBUS evaluation of the left hilar lymph node. The bronchoscopy did not reveal any abnormality and we proceeded to the EBUS examination. During the routine initial examination of all the lymph nodal stations it was found that besides a left hilar node there was a large hyperechoeic shadow occupying the lumen of the main pulmonary artery and another similar opacity though smaller shadow, in the right pulmonary artery [Figures 3 and 4]. The procedure was completed, by taking transbronchial needle aspirations from the left hilar node. It was assumed that the intravascular opacities were due to thrombi and this was immediately confirmed by performing a CT pulmonary angiography where filling defects were seen in the pulmonary artery and its branches [Figures 5-7].

Bottom Line: This is a case report of a young 20-year-old male who was referred for an endobronchial ultrasound (EBUS) procedure to investigate a fever and a left hilar lymph node and patchy pleural-based opacities seen on CT of the chest.During the EBUS procedure besides the left hilar node, a large thrombus was noticed in the main pulmonary artery and another one in the right pulmonary artery.EBUS proved invaluable in making a diagnosis in an unsuspected case of pulmonary embolism.

View Article: PubMed Central - PubMed

Affiliation: Centre for Respiratory Diseases, Jaipur Golden Hospital, Delhi, India.

ABSTRACT
This is a case report of a young 20-year-old male who was referred for an endobronchial ultrasound (EBUS) procedure to investigate a fever and a left hilar lymph node and patchy pleural-based opacities seen on CT of the chest. During the EBUS procedure besides the left hilar node, a large thrombus was noticed in the main pulmonary artery and another one in the right pulmonary artery. EBUS proved invaluable in making a diagnosis in an unsuspected case of pulmonary embolism.

No MeSH data available.


Related in: MedlinePlus