Pulmonary embolism (PE) is a life-threatening condition with varied presentation and, therefore, poses clinical challenge for early diagnosis and proper management without which it carries high mortality. Previous studies on the role of endobronchial ultrasound (EBUS) in diagnosis of PE were carried out after PE was already diagnosed by computed tomography pulmonary angiography. We report a cas...

Superior vena cava obstruction is associated with multiple venous collaterals. There is an unusual pathway involving pulmonary venous collaterals in which systemic veins drain directly into the left heart, resulting in a right-to-left shunt. We report here a rare case of systemic to pulmonary venous shunt on both hemithoraces in superior vena cava obstruction associated with Budd-Chiari syndrom...

The diagnosis of pulmonary embolism is based on several distinct steps. Faced with the suspicion embolism, we are led to use a clinical probability score guide rest examinations. Revised Geneva and Wells two best validated scores. They identify low-, medium-, high-risk patients in simple way. third step, if not high, assay D-dimers. A negative result excludes predictive value close 100%. last t...

AIM To investigate the effectiveness of indirect computed tomography (CT) venography applied after pulmonary CT angiography to patients with suspected pulmonary embolism. MATERIAL AND METHODS The study comprised 80 patients at high/moderate risk of pulmonary embolism (PE) according to the clinical findings. Computed tomography venography (CTV) was performed 3-3.5 minutes after taking pulmonar...

One strategy was compression ultrasonography, followed by anticoagulation in case of positive results (high probability ventilation-perfusion (VQ) scans) or by VQ scan or spiral computed tomography (CT) in case of negative results. Low probability VQ scans resulted in no treatment, whereas high probability VQ scans resulted in anticoagulation. Intermediate tests were followed by a second test (...