Atypical chest pain in an older woman
BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k345 (Published 22 February 2018) Cite this as: BMJ 2018;360:k345
- Omed Amin, foundation year two doctor,
- David C Howlett, consultant radiologist
- Eastbourne District General Hospital, East Sussex Healthcare NHS Trust, Eastbourne, UK
- Correspondence to O Amin omedamin{at}doctors.org.uk
A 73 year old woman with no cardiac history presented with a three week history of atypical chest pain. She had no associated signs or symptoms. She was referred for a computed tomography coronary angiogram (fig 1) at the rapid access chest pain clinic, as part of routine investigations for atypical chest pain.
Arterial phase computed tomography coronary angiogram
What is the diagnosis?
Answer
The computed tomography coronary angiogram shows extensive bilateral pulmonary emboli (fig 2).
Arterial phase computed tomography coronary angiogram reveals extensive pulmonary emboli within the distal main right …
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