Minipresentacion de Tromboembolia pulmonar, algunos casos, y citas.

1. Dr. Gerardo Sela.
TEP
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2. Signos radiologicos
Disnea subita Asintomatica
2

3. 3

4. Rxlucidez unilateral
 Mastectomia
 Polland
 Amastia
 Enfisema lobar unil.
 C. extrano
4

5. HAP
 Dilatacion del tronco
de la pulmonar
 Engrosamiento de la
Arteria interlobar
derecha
 Disminucion de la
vasculirdad periferica
 Crecimiento de VD
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6. Masc 75 disnea y taquicardia
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7. 7

8. 8

9. 9

10.  Chest x-ray: The lungs are clear. No focal
infiltrate or pleural effusion.
 V/Q scan: Ventilation: There is delayed
washout of radiotracer in the left lung
base.
 There is normal ventilation and washout in
the right lung.
 Perfusion: There is a wedge shaped
defect in the lateral segment of the right
middle lobe. 10

11. The presenting signs and symptoms of
pulmonary embolism are nonspecific and
mimic that of other cardiopulmonary disease.
CXR has low sensitivity and specificity in
diagnosing PE and is used to rule out other
processes that mimic PE.
Mismatched, wedge shaped, segmental
ventilation-perfusion defects raises the
suspicion of PE. Probability of PE is based on
PIOPED II criteria.
COPD, pleural effusion, hilar masses,
1.Mettler, F.A., Guiberteau, M.J. Essentials of Nuclear Medicine Imaging. New York: Saunders, 2006.
pulmonary hypoplasia and many other
2.Han, D., et al. Thrombotic and Nonthrombotic Pulmonary Arterial Embolism: Spectrum of Imaging. Findings. RadioGraphics 2003; 23:1521–1539.
3.Sabatine, M., et al. Pocket Medicine. New York: Lippincott, 2004.
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12. M 70
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13. 13

14. EVP TEP
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15. Fem sobrepeso, disnea
ANGIOTAC PULMONAR 30 DIAS DESPUES
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16. Dual-Energy CT: Clinical Applications in
Various Pulmonary Diseases1
RadioGraphics 2010; 30:685–698
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17. RadioGraphics 2010; 30:685–698
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18. RadioGraphics 2010; 30:685–698
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19. Aquilion PRIME, the next generation 160-
slice multi detector CT scanner
19