OK. This is just plain out there. We see some unusual stuff in the remote areas – things you only read about in the books! I am going to put this in the category of medical voyeurism. This is not how we should go about our business, but I had to share these pics!
20 yo with pleuritic chest pain, not much else, but hypertensive BP = 160/90 [not that unusual up here in the tropics]
He managed to get a D-dimer… and then the inevitable CT angiogram (probably PERC negative)
Here is a slice from the CT -
OK – spot diagnosis, what is going on?