Pulmonary Cement Embolism Presenting with Dyspnea

A 70 year old male with a history of metastatic prostate cancer and treated vertebral compression fractures complained of shortness of breath at a urology appointment. He was immediately referred for CXR and pulmonary embolism protocol CT. CXR showed several small tubular high-density opacities along the expected course of pulmonary arteries (Fig. 1). CT revealed cement deposits in segmental and subsegmental pulmonary arteries (Figs. 2a & 2b). No thrombus was identified. The patient was treated with a standard course of Lovenox and then Coumadin.

Source: Seminars in Roentgenology - February 3, 2015 Category: Radiology Authors: Girish S. Shroff, Ezinne Okwandu, Chitra Viswanathan, Mylene T. Truong Source Type: research