Pulmonary Embolism.

MDCT of the chest, abdomen and pelvis was performed before and after intravenous contrast administration. The bowel was labeled with oral contrast. 

• Diffuse areas of ground glass attenuation involving both lungs more evident along their lower lobes.
• Filling defect is seen involving the right main pulmonary artery extending into the right descending branch as well as small filling defect at the descending branch of the left pulmonary artery.
• No evidence of any focal parenchymal lesion is observed.
• No evidence of atelectasis, abnormal bronchial dilatation, focal or diffuse emphysema or interstitial disease is seen.
• No evidence of any mass lesion or lymphadenopathy is observed in the mediastinum or hilar regions.
• The pleural spaces are clear.
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• The liver is normal is size. It shows normal texture. No evidence of any focal or diffuse lesion is seen in the liver.
• The gall bladder and biliary tree are normal.
• Portal vein is normal.
• The spleen, pancreas and adrenals are normal. No evidence of any focal mass lesions.
• The kidneys are normal in size. No evidence of any focal mass lesions. No evidence of dilatation of collecting systems. No evidence of calculi.
• The urinary bladder is well distended and shows no obvious mass lesion in it. 
• The bowel loops are normal in caliber, location and show normal wall thickness.
• No evidence of ascitis is seen.
• No evidence of mesenteric or retroperitoneal lymphadenopathy is seen.

IMPRESSION: 

• Evidence of pulmonary embolism involving the right main pulmonary artery and descending branch of the left pulmonary artery.
• Diffuse areas of ground glass attenuation involving both lungs more evident along their lower lobes.

Reported By : DR.HAYTHAM RAMZY
 Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin