A Rare Culprit of Simultaneous Arteriovenous Thromboembolism: Acute Viral Perimyocarditis

Figure 2

A contrast-enhanced chest computed tomography with pulmonary embolism protocol: large filling defect within the distal right lobar pulmonary artery, with thrombus extending into the right lower lobe branches (white arrow). The heart is markedly enlarged with a moderate pericardial effusion. Bibasilar consolidations and areas of linear atelectasis versus scarring/fibrosis at both lower lobes. Bilateral pleural effusions, larger on the right than the left. There is no pneumothorax or pneumomediastinum.