23204949

The document describes a case involving a chest x-ray and pulmonary angiogram findings in a 57-year-old female patient who presented with chest pain two weeks following a hemorrhagic stroke. The pulmonary angiogram shows multiple filling defects in the left main pulmonary artery and its branches, consistent with pulmonary embolism. While anticoagulation is usually the standard therapy for pulmonary embolism, it is contraindicated in this patient due to her recent stroke. Therefore, the best management option is placement of an inferior vena cava filter to prevent further pulmonary emboli while existing clots dissolve, as anticoagulation cannot be used due to her recent hemorrhagic stroke.